Citation

Pivetta LGA, Antunes PDESL, Shimoda GM, Parreira JG, Perlingeiro JAG, Assef JC. Rev. Col. Bras. Cir. 2024; 51: e20243604.

Copyright

(Copyright © 2024, Colégio Brasileiro de Cirurgiões)

DOI

10.1590/0100-6991e-20243604-en

PMID

38597571

Abstract

PURPOSE: to consolidate a Trauma Register (TR) trough REDCap data acquisition platform and to validate, in this context, local Quality Indicators (QI) as improvement opportunities in trauma management.

METHODS: continuous data acquisition of all patients admitted in Irmandade da Santa Casa de Misericórdia de São Paulo adult Trauma bay and it's validation in REDCap platform; 6 months retrospective cohort of QI impact in length of hospitalar stay, complications and mortality. Fisher, Chi-squared, Wilcoxon and Kruskal-Wallis tests were used to correlate QIs fails with the endpoints, considering p<0.05 and CI <95% as statically significant.

RESULTS: 465 were admitted in Trauma bay, with 137 patients hospitalized (29.5%); the number of QIs compromised were related with more complications (p=0.075) and increased length of stay (p=0.028), especially the delay in open fracture's surgical management, which increased the severe complications' incidence (p=0.005).

CONCLUSION: the REDCap data acquisition platform is useful as a tool for multi center TR implementation, from ethical and logistical point of view; nevertheless, the proposed QIs are validated as attention points in trauma management, allowing improvements in traumatized patients treatment.

Language: pt

Keywords

*Multiple Trauma; *Quality Indicators, Health Care; Adult; Brazil/epidemiology; Humans; Registries; Retrospective Studies