This repository documents our research project on patient level factors associated with delayed treatment in adult trauma patients.
Trauma, the clinical entity composed of physical injury and the body’s associated response, is a leading cause of mortality and morbidity worldwide. A cornerstone of trauma quality improvement programs is multidisciplinary mortality and morbidity review to identify opportunities for improvement and implement corrective actions. Examples of opportunities for improvement may include lack of resources and management errors. One common opportunity for improvement is delayed treatment, with potentially adverse effects. The patient level factors that may contribute to delayed treatment in adult trauma patients are poorly understood.
To determine how patient level factors are associated with delayed treatment in adult trauma patients.
This is a registry based cohort study using data from the trauma registry and trauma care quality database at the Karolinska University Hospital in Solna. The trauma registry includes about 12000 patients treated between 2012 and 2022. The trauma care quality database is a subset of the trauma registry and includes about 6000 patients selected for review between 2014 and 2022. The outcome is delayed treatment, as identified by the multidisciplinary review board and recorded in the trauma care quality database. This project will link the two databases and assess how different patient level factors, such as age, sex, mechanism of injury, and injury severity, are associated with delayed treatment using logistic regression. A 5% significance level and 95% confidence levels will be used.