Management of Major Trauma Patients at Aarau Trauma Center - Evaluation of Processes and Patient Outcome

NCT02165137 | Completed

• 1 other identifier: 2012-008
• Study Type: observational
• Target: 3,800
• Locations: 1 country
• Sites: 1

Brief Summary

Quality control and improvement project: Assessment and analysis of processes and outcome in trauma emergency room and major trauma patients at the Aarau trauma center (cantonal hospital) with regard to initial emergency management, hospital processes and short- and long-term (1-and 2-year) outcome of patients (subjective and objective). Comparison of processes and outcome pre- and post- project initiative. Benchmarking with the literature and by participation in the German and Swiss Trauma registry each.

Conditions

Injury; Trauma; Major Trauma; Multiple Trauma

Keywords

trauma; major trauma; multiple trauma; outcome; quality; process Management; emergency room; trauma center

Outcome Measures

Primary Outcomes (1)

• emergency room process times

  hours (<6)

Secondary Outcomes (6)

• hospital mortality

  30 days

• Euro Quality of Life Group health-related quality of life on five dimensions (EQ-5D)

  1 and 2 year follow-up

• Trauma Outcome Profile (TOP)

  1 and 2 year follow-up

• Quality of Life after Brain Injury (QOLIBRI)

  1 and 2 year follow-up

• medical outcomes study Short Form-36 (SF-36)

  1 and 2 year follow-up

Other Outcomes (2)

• invalidity

  at least 4 year post-injury

• insurance payments

  at least 4 years post-injury

Study Arms (1)

trauma patients

type and severity of patients, circumstances and trauma pre- and post-injury / -quality initiative

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All emergency patients treated at Aarau Cantonal Hospital following trauma (\<24h postinjury) with suspected major trama

You may qualify if:

• major trauma: New Injury Severity Score (NISS) \>=8
• for longer-term outcome: only patients firm in German language and able to respond to the postal questionnaire by themselves

You may not qualify if:

• no Trauma
• injury \>24h before arrival at Aarau Cantonal Hospital
• NISS\<8
• for longer-term outcome: patients not firm in German language and not able to respond to the postal questionnaire by themselves (dead, unavailable, refusal to participate, dementia, age\<16 years ecc.); a categorising compilation of cases is supposed to exclude any possible study bias

Sponsors & Collaborators

• Kantonsspital Aarau: lead
• Kantonsspital Aarau, Wissenschaftlicher Fond: collaborator
• Suva: collaborator

Study Sites (1)

Aarau Cantonal Hospital

Aarau, Canton of Aargau, 5001, Switzerland

Location

Related Publications (23)

• Gross T, Amsler F. Prevalence and incidence of longer term pain in survivors of polytrauma. Surgery. 2011 Nov;150(5):985-95. doi: 10.1016/j.surg.2011.04.003. Epub 2011 Jun 15.

  PMID: 21676423 BACKGROUND

• Attenberger C, Amsler F, Gross T. Clinical evaluation of the Trauma Outcome Profile (TOP) in the longer-term follow-up of polytrauma patients. Injury. 2012 Sep;43(9):1566-74. doi: 10.1016/j.injury.2011.01.002. Epub 2011 Jan 20.

  PMID: 21255778 BACKGROUND

• Gross T, Attenberger C, Huegli RW, Amsler F. Factors associated with reduced longer-term capacity to work in patients after polytrauma: a Swiss trauma center experience. J Am Coll Surg. 2010 Jul;211(1):81-91. doi: 10.1016/j.jamcollsurg.2010.02.042. Epub 2010 May 15.

  PMID: 20610253 BACKGROUND

• Fueglistaler P, Amsler F, Schuepp M, Fueglistaler-Montali I, Attenberger C, Pargger H, Jacob AL, Gross T. Prognostic value of Sequential Organ Failure Assessment and Simplified Acute Physiology II Score compared with trauma scores in the outcome of multiple-trauma patients. Am J Surg. 2010 Aug;200(2):204-14. doi: 10.1016/j.amjsurg.2009.08.035. Epub 2010 Mar 15.

  PMID: 20227058 BACKGROUND

• Fuglistaler-Montali I, Attenberger C, Fuglistaler P, Jacob AL, Amsler F, Gross T. In search of benchmarking for mortality following multiple trauma: a Swiss trauma center experience. World J Surg. 2009 Nov;33(11):2477-89. doi: 10.1007/s00268-009-0193-1.

  PMID: 19693630 BACKGROUND

• Gross T, Schuepp M, Attenberger C, Pargger H, Amsler F. Outcome in polytraumatized patients with and without brain injury. Acta Anaesthesiol Scand. 2012 Oct;56(9):1163-74. doi: 10.1111/j.1399-6576.2012.02724.x. Epub 2012 Jun 26.

  PMID: 22735047 BACKGROUND

• Gross T, Morell S, Scholz SM, Amsler F. The capacity of baseline patient, injury, treatment and outcome data to predict reduced capacity to work and accident insurer costs - a Swiss prospective 4-year longitudinal trauma centre evaluation. Swiss Med Wkly. 2019 Dec 17;149:w20144. doi: 10.4414/smw.2019.20144. eCollection 2019 Dec 16.

  PMID: 31846504 RESULT

• Gross T, Morell S, Amsler F. To What Extent Are Main Accident-Insurer Cases Representative of All Significantly Injured? A Swiss Monocenter Perspective. J Insur Med. 2019;48(1):65-78. doi: 10.17849/insm-48-1-1-14.1. Epub 2019 Apr 24.

  PMID: 31017516 RESULT

• Gross T, Morell S, Amsler F. Gender-Specific Improvements in Outcome 1 and 2 Years After Major Trauma. J Surg Res. 2019 Mar;235:459-469. doi: 10.1016/j.jss.2018.10.024. Epub 2018 Nov 21.

  PMID: 30691830 RESULT

• Gross T, Braken P, Amsler F. Trauma center need: the American College of Surgeons' definition in contrast to Swiss highly specialized medicine regulations-a Swiss trauma center perspective. Eur J Trauma Emerg Surg. 2020 Apr;46(2):397-406. doi: 10.1007/s00068-018-1027-3. Epub 2018 Oct 13.

  PMID: 30317378 RESULT

• Born K, Amsler F, Gross T. Prospective evaluation of the Quality of Life after Brain Injury (QOLIBRI) score: minor differences in patients with major versus no or mild traumatic brain injury at one-year follow up. Health Qual Life Outcomes. 2018 Jul 9;16(1):136. doi: 10.1186/s12955-018-0966-z.

  PMID: 29986710 RESULT

• Gross T, Amsler F. One-year outcome following brain injury: a comparison of younger versus elderly major trauma patients. Arch Orthop Trauma Surg. 2018 Oct;138(10):1375-1387. doi: 10.1007/s00402-018-2974-1. Epub 2018 Jun 11.

  PMID: 29948226 RESULT

• Gross T, Morell S, Amsler F. Longer-term quality of life following major trauma: age only significantly affects outcome after the age of 80 years. Clin Interv Aging. 2018 Apr 30;13:773-785. doi: 10.2147/CIA.S158344. eCollection 2018.

  PMID: 29750022 RESULT

• Braken P, Amsler F, Gross T. Simple modification of trauma mechanism alarm criteria published for the TraumaNetwork DGU(R) may significantly improve overtriage - a cross sectional study. Scand J Trauma Resusc Emerg Med. 2018 Apr 24;26(1):32. doi: 10.1186/s13049-018-0498-x.

  PMID: 29690930 RESULT

• Bundi M, Meier L, Amsler F, Gross T. [Impact of weather, time of day and season on the admission and outcome of major trauma patients]. Unfallchirurg. 2018 Jan;121(1):10-19. doi: 10.1007/s00113-016-0267-0. German.

  PMID: 27778061 RESULT

• Gross T, Amsler F. [Long-term outcome following multiple trauma in working age : A prospective study in a Swiss trauma center]. Unfallchirurg. 2016 Nov;119(11):921-928. doi: 10.1007/s00113-014-2720-2. German.

  PMID: 25633852 RESULT

• Gross T, Amsler F. [Emergency room and major trauma treatment is a "loss-making business" : A Swiss trauma center experience with current DRG reimbursement]. Unfallchirurg. 2021 Sep;124(9):747-754. doi: 10.1007/s00113-020-00937-w. Epub 2020 Dec 18. German.

  PMID: 33337516 RESULT

• Walkner S, Amsler F, Gross T. [How often is a chest tube needed following thoracic trauma in the severely injured-and when is more needed? : Data from a Swiss trauma center for planning of resources and surgical training]. Chirurg. 2021 Aug;92(8):721-728. doi: 10.1007/s00104-020-01292-7. German.

  PMID: 33034700 RESULT

• Gross T, Morell S, Amsler F. Medically graded reduced capacity to work (RCW) following significant injury as explained by patient related outcome measures (PROMs): A prospective trauma center evaluation. Disabil Health J. 2021 Oct;14(4):101114. doi: 10.1016/j.dhjo.2021.101114. Epub 2021 May 10.

  PMID: 34059469 RESULT

• Gross T, Amsler F. Main factors predicting somatic, psychological, and cognitive patient outcomes after significant injury: a pilot study of a simple prognostic tool. BJS Open. 2021 Nov 9;5(6):zrab109. doi: 10.1093/bjsopen/zrab109.

  PMID: 34864883 RESULT

• Zeindler M, Amsler F, Gross T. Comparative analysis of MGAP, GAP, and RISC2 as predictors of patient outcome and emergency interventional need in emergency room treatment of the injured. Eur J Trauma Emerg Surg. 2021 Dec;47(6):2017-2027. doi: 10.1007/s00068-020-01361-w. Epub 2020 Apr 13.

  PMID: 32285143 RESULT

• Fiumedinisi FA, Amsler F, Gross T. Short-term outcome following significant trauma: increasing age per se has only a relatively low impact. Eur J Trauma Emerg Surg. 2021 Dec;47(6):1979-1992. doi: 10.1007/s00068-020-01357-6. Epub 2020 Apr 16.

  PMID: 32300851 RESULT

• Magyar CTJ, Maeder F, Diepers M, Amsler F, Gross T. Detailed information gain and therapeutic impact of whole body computed tomography supplementary to conventional radiological diagnostics in blunt trauma emergency treatment: a consecutive trauma centre evaluation. Eur J Trauma Emerg Surg. 2022 Apr;48(2):921-931. doi: 10.1007/s00068-020-01502-1. Epub 2020 Sep 30.

  PMID: 32997166 RESULT

MeSH Terms

Conditions

Wounds and Injuries; Multiple Trauma; Emergencies

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Thomas Gross, MD, Prof.

  Aarau Cantonal Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: OTHER
• Target Duration: 2 Years
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Prof. Dr. med.

Study Record Dates

• First Submitted: June 11, 2014
• First Posted: June 17, 2014
• Study Start: January 1, 2010
• Primary Completion: December 1, 2019
• Study Completion: December 1, 2020
• Last Updated: March 15, 2024

Record last verified: 2024-03

Locations

CH (1)