Establishing a Regional Trauma Preventable/Potentially Preventable Death Rate.
Journal
Annals of surgery
ISSN: 1528-1140
Titre abrégé: Ann Surg
Pays: United States
ID NLM: 0372354
Informations de publication
Date de publication:
02 2020
02 2020
Historique:
pubmed:
2
8
2018
medline:
12
5
2020
entrez:
2
8
2018
Statut:
ppublish
Résumé
To establish a trauma preventable/potentially preventable death rate (PPPDR) within a heavily populated county in Texas. The National Academies of Sciences estimated the trauma preventable death rate in the United States to be 20%, issued a call for zero preventable deaths, while acknowledging that an accurate preventable death rate was lacking. In this absence, effective strategies to improve quality of care across trauma systems will remain difficult. A retrospective review of death-related records that occurred during 2014 in Harris County, TX, a diverse population of 4.4 million. Patient demographics, mechanism of injury, cause, timing, and location of deaths were assessed. Deaths were categorized using uniform criteria and recorded as preventable, potentially preventable or nonpreventable. Of 1848 deaths, 85% had an autopsy and 99.7% were assigned a level of preventability, resulting in a trauma PPPDR of 36.2%. Sex, age, and race/ethnicity varied across preventability categories (P < 0.01). Of 847 prehospital deaths, 758 (89.5%) were nonpreventable. Among 89 prehospital preventable/potentially preventable (P/PP) deaths, hemorrhage accounted for 55.1%. Of the 657 initial acute care setting deaths, 292 (44.4%) were P/PP; of these, hemorrhage, sepsis, and traumatic brain injury accounted for 73.3%. Of 339 deaths occurring after initial hospitalization, 287 (84.7%) were P/PP, of these 117 resulted from sepsis and 31 from pulmonary thromboembolism, accounted for 51.6%. The trauma PPPDR was almost double that estimated by the National Academies of Sciences. Data regarding P/PP deaths offers opportunity to target research, prevention, intervention, and treatment corresponding to all phases of the trauma system.
Identifiants
pubmed: 30067544
doi: 10.1097/SLA.0000000000002999
pii: 00000658-202002000-00027
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
375-382Références
Morbidity and Mortality Weekly Report (MMWR). CDC National Health Report: Leading Causes of Morbidity and Mortality and Associated Behavioral Risk and Protective Factors—United States, 2005–2013; 2014. Available at: http://www.cdc.gov/mmwr/preview/mmwrhtml/su6304a2.htm?s_cid=su6304a2_e. Accessed March 1, 2018.
National Academies of Sciences [NAS]. A national trauma care system: Integrating military and civilian trauma systems to achieve zero preventable deaths after injury; 2016. Available at: http://www.nationalacademies.org/hmd/Reports/2016/A-National-Trauma-Care-System-Integrating-Military-and-Civilian-Trauma-Systems.aspx. Accessed March 19, 2018.
S.1022 Mission Zero Act; 2017. Available at: https://www.congress.gov/bill/115th-congress/senate-bill/1022. Accessed March 19, 2018.
Jacobs LM, Burns KJ, Pons PT, et al. Initial steps in training the public about bleeding control: surgeon participation and evaluation. J Am Coll Surg 2017; 224:1084–1090.
Jenkins DH, Cioffi WG, Cocanour CS, et al. Position statement of the Coalition for National Trauma Research on the National Academies of Sciences, Engineering and Medicine report, A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. J Trauma Acute Care Surg 2016; 81:816–818.
Jenkins DH, Winchell RJ, Coimbra R, et al. Position statement of the American College of Surgeons Committee on Trauma on the National Academies of Sciences, Engineering and Medicine Report, A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. J Trauma Acute Care Surg 2016; 81:819–823.
Drake SA, Wolf DA, Meininger JC, et al. Methodology to reliably measure preventable trauma death rate. Trauma Surg Acute Care Open 2017; 2:e000106.
Hanzlick R. Principles for including or excluding “mechanisms” of death when writing cause-of-death statements. Arch Pathol Lab Med 1997; 121:377–380.
Hartnett T. Consensus-oriented Decision Making: The CODM Model for Facilitating Groups Widespread Agreement. Gabriola Island, Canada: New Society Publishers; 2010.
Harris County Community Profile. Available at: http://www.harriscountytx.gov/CmpDocuments/103/py%202003-2007%20Consolidated%20Plan/Section3_CommunityProfile_and_Market_Analysis.pdf. Accessed March 18, 2018.
DSHS Harris County Data. Available at: http://healthdata.dshs.texas.gov/HealthFactsProfiles. Accessed March 18, 2018.
American College of Surgeons (ACS): The Committee on Trauma; 2015. Available at: https://www.facs.org/quality-programs/trauma. Accessed March 19, 2018.
NCIPC (National Center for Injury Prevention and Control). WISQARS™ fatal injury reports: 2014, United States, all injury deaths and rates per 100,000, all races, both sexes, all ages; 2015. Available at: http://webappa.cdc.gov/sasweb/ncipc/mortrate10_us.html. Accessed March 19, 2018.
Sanddal TL, Esposito TL, Whitney JR, et al. Analysis of preventable trauma deaths and opportunities for trauma care improvement in Utah. J Trauma 2011; 70:970–977.
Sampalis JS, Boukas S, Lavole A, et al. Preventable death evaluation of the appropriateness of the on-site trauma care provided by Urgences-Sante physician. J Trauma 1995; 39:1029–1035.
Janak JC, Sosnov JA, Bares JM, et al. Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review. JAMA Surg 2018; 153:367–375.
Baker CC, Oppenheimer L, Stephens B, et al. Epidemiology of trauma deaths. Am J Surg 1980; 140:144–150.
Anderson ID, Woodford M, de Dombal FT, et al. Retrospective study of 1000 deaths from injury in England and Wales. Br Med J (Clin Res Ed) 1988; 296:1305–1308.
Stewart RM, Myers JG, Dent DL, et al. Seven hundred fifty-three consecutive deaths in a level I trauma center: the argument for injury prevention. J Trauma 2003; 54:66–70.
Boman H, Björnstig U, Hedelin A, et al. “Avoidable” deaths in two areas of Sweden: analysis of deaths in hospital after injury. Eur J Surg 1999; 165:828–833.
Rogers FB, Shackford SR, Hoyt DB, et al. Trauma deaths in a mature urban vs rural trauma system. A comparison. Arch Surg 1997; 132:376–381.
Davis JS, Satahoo SS, Butler FK, et al. An analysis of prehospital deaths: who can we save? J Trauma Acute Care Surg 2014; 77:213–218.
Kwon AM, Garbett NC, Kloecker GH. Pooled preventable death rates in trauma patients: meta analysis and systematic review since 1990. Eur J Trauma Emerg Surg 2014; 40:279–285.
Shackford SR, Hollingsworth-Fridlund P, McArdle M, et al. Assuring quality in a trauma system: The Medical Audit Committee: composition, cost, and results. J Trauma 1987; 27:866–875.
Falconer JA. Preventability of pre-hospital trauma deaths in southern New Zealand. N Z Med J 2010; 123:11–19.
Cales RH, Trunkey DD. Preventable trauma deaths. A review of trauma care systems development. JAMA 1985; 254:1059–1063.
Kleber C, Giesecke MT, Tsokos M, et al. Trauma-related preventable deaths in Berlin 2010: need to change prehospital management strategies and trauma management education. World J Surg 2013; 37:1154–1161.
Maio RF, Burney RE, Gregor MA, et al. A study of preventable trauma mortality in rural Michigan. J Trauma 1996; 41:83–90.
Navarro S, Montmany S, Rebasa P, et al. Impact of ATLS training on preventable and potentially preventable deaths. World J Surg 2014; 38:2273–2278.
Sauaia A, Moore FA, Moore EE, et al. Epidemiology of trauma deaths: a reassessment. J Trauma 1995; 38:185–193.
Eastridge BJ, Mabry RL, Seguin P, et al. Death on the battlefield (2001-2011): implications for the future of combat casualty care. J Trauma Acute Care Surg 2012; 73:S431–S437.
Holcomb JB, McMullin NR, Pearse L, et al. Causes of death in U.S. special operations forces in the global war on terrorism: 2001-2004. Ann Surg 2007; 245:986–991.
Kelly JF, Ritenour AE, McLaughlin DF, et al. Injury severity and causes of death from operation Iraqi freedom and operation enduring freedom: 2003-2004 versus 2006. J Trauma 2008; 64:S21–S27.
Kotwal RS, Montgomery HR, Kotwal BM, et al. Eliminating preventable death on the battlefield. Arch Surg 2011; 146:1350–1358.
Martin M, Oh J, Currier H, et al. An analysis of in-hospital deaths at a modern combat support hospital. J Trauma 2009; 66: (4 suppl): S51–S60.
Kragh JF, Walters TJ, Baer DG, et al. Survival with emergency tourniquet use to stop bleeding in major limb trauma. Ann Surg 2009; 249:1–7.
Scerbo MH, Holcomb JB, Taub E, et al. The trauma center is too late: major limb trauma without a pre-hospital tourniquet has increased death from hemorrhagic shock. J Trauma Acute Care Surg 2017; 83:1165–1172.
Teixeira PG, Brown CV, Emigh B, et al. Civilian prehospital tourniquet use is associated with improved survival in patients with peripheral vascular injuries. J Am Coll Surg 2018; 226:769–776.
Shackford SR, Mackersie RC, Davis JW, et al. Epidemiology and pathology of traumatic deaths occurring at a level I trauma center in a regionalized system: the importance of secondary brain injury. J Trauma 1989; 29:1329–1337.
Oyeniyi BT, Fox EE, Scerbo M, et al. Trends in 1029 trauma deaths at a level 1 trauma center: impact of a bleeding control bundle of care. Injury 2017; 48:5–12.
Zafar SN, Obirieze A, Schneider EB, et al. Outcomes of trauma care at centers treating a higher proportion of older patients: the case for geriatric trauma centers. J Trauma Acute Care Surg 2015; 78:852–859.
Staudenmayer K, Wang NE, Weiser TG, et al. The triage of injured patients: mechanism of injury, regardless of injury severity, determines hospital destination. Am Surg 2016; 82:356–361.
Chang MH, Moonesinghe R, Athar HM, et al. Trends in disparity by sex and race/ethnicity for the leading causes of death in the United States: 1999-2010. J Public Health Manag Pract 2016; 22: (suppl 1): S13–S24.
Losonczy LI, Weygandt PL, Villegas CV, et al. The severity of disparity: increasing injury intensity accentuates disparate outcomes following trauma. J Health Care Poor Underserved 2014; 25:308–320.
Hicks CW, Hashmi ZG, Hui X, et al. Explaining the paradoxical age-based racial disparities in survival after trauma: the role of the treating facility. Ann Surg 2015; 262:179–183.
Dwyer-Lindgren L, Bertozzi-Villa A, Stubbs RW, et al. Trends and patterns of geographical variation of substance use disorder and intentional injuries among US counties 1980-2014. JAMA 2018; 319:1013–1023.