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

Study Overview
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Brief Summary
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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.

Detailed Description
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Registry of all emergency patients arriving at Aarau trauma center following trauma with regard to possibly injury related pre- and inhospital demographic factors, process variables and outcome Parameters.

Official Title
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Quality Control in the Management of Major Trauma Patients at Aarau Cantonal Hospital - Evaluation of Processes and Patient Outcome

Conditions
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Injury, Trauma, Major Trauma, Multiple Trauma

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 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 Exclusion Criteria: 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
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| trauma patients<br>type and severity of patients, circumstances and trauma pre- and post-injury / -quality initiative | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| emergency room process times |  | hours (<6) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| hospital mortality |  | 30 days | 
| Euro Quality of Life Group health-related quality of life on five dimensions (EQ-5D) | score | 1 and 2 year follow-up | 
| Trauma Outcome Profile (TOP) | score | 1 and 2 year follow-up | 
| Quality of Life after Brain Injury (QOLIBRI) | score | 1 and 2 year follow-up | 
| medical outcomes study Short Form-36 (SF-36) | score | 1 and 2 year follow-up | 
| reduced capacity to work | Value (%);e.g. see 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 | 1 and 2 year outcome | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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emergency room, trauma center, trauma, major trauma, multiple trauma, outcome, quality, process Management