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Trauma facilities in Denmark - a nationwide cross-sectional benchmark study of facilities and trauma care organisation

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Weile, Jesper ; Nielsen, Klaus ; Primdahl, Stine C ; Frederiksen, Christian A ; Laursen, Christian B ; Sloth, Erik ; Mølgaard, Ole ; Knudsen, Lars ; Kirkegaard, Hans. / Trauma facilities in Denmark - a nationwide cross-sectional benchmark study of facilities and trauma care organisation. I: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2018 ; Bind 26, Nr. 22.

Bibtex

@article{107ec78ab3b147e1b4bfc0650ba45245,
title = "Trauma facilities in Denmark - a nationwide cross-sectional benchmark study of facilities and trauma care organisation",
abstract = "BACKGROUND: Trauma is a leading cause of death among adults aged < 44 years, and optimal care is a challenge. Evidence supports the centralization of trauma facilities and the use multidisciplinary trauma teams. Because knowledge is sparse on the existing distribution of trauma facilities and the organisation of trauma care in Denmark, the aim of this study was to identify all Danish facilities that care for traumatized patients and to investigate the diversity in organization of trauma management.METHODS: We conducted a systematic observational cross-sectional study. First, all hospitals in Denmark were identified via online services and clarifying phone calls to each facility. Second, all trauma care manuals on all facilities that receive traumatized patients were gathered. Third, anesthesiologists and orthopedic surgeons on call at all trauma facilities were contacted via telephone for structured interviews.RESULTS: A total of 22 facilities in Denmark were found to receive traumatized patients. All facilities used a trauma care manual and all had a multidisciplinary trauma team. The study found three different trauma team activation criteria and nine different compositions of teams who participate in trauma care. Training was heterogeneous and, beyond the major trauma centers, databases were only maintained in a few facilities.CONCLUSION: The study established an inventory of the existing Danish facilities that receive traumatized patients. The trauma team activation criteria and the trauma teams were heterogeneous in both size and composition. A national database for traumatized patients, research on nationwide trauma team activation criteria, and team composition guidelines are all called for.",
keywords = "Journal Article",
author = "Jesper Weile and Klaus Nielsen and Primdahl, {Stine C} and Frederiksen, {Christian A} and Laursen, {Christian B} and Erik Sloth and Ole M{\o}lgaard and Lars Knudsen and Hans Kirkegaard",
year = "2018",
month = may,
day = "1",
doi = "10.1186/s13049-018-0486-1",
language = "English",
volume = "26",
journal = "Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine",
issn = "1757-7241",
publisher = "BioMed Central Ltd",
number = "22",

}

RIS

TY - JOUR

T1 - Trauma facilities in Denmark - a nationwide cross-sectional benchmark study of facilities and trauma care organisation

AU - Weile, Jesper

AU - Nielsen, Klaus

AU - Primdahl, Stine C

AU - Frederiksen, Christian A

AU - Laursen, Christian B

AU - Sloth, Erik

AU - Mølgaard, Ole

AU - Knudsen, Lars

AU - Kirkegaard, Hans

PY - 2018/5/1

Y1 - 2018/5/1

N2 - BACKGROUND: Trauma is a leading cause of death among adults aged < 44 years, and optimal care is a challenge. Evidence supports the centralization of trauma facilities and the use multidisciplinary trauma teams. Because knowledge is sparse on the existing distribution of trauma facilities and the organisation of trauma care in Denmark, the aim of this study was to identify all Danish facilities that care for traumatized patients and to investigate the diversity in organization of trauma management.METHODS: We conducted a systematic observational cross-sectional study. First, all hospitals in Denmark were identified via online services and clarifying phone calls to each facility. Second, all trauma care manuals on all facilities that receive traumatized patients were gathered. Third, anesthesiologists and orthopedic surgeons on call at all trauma facilities were contacted via telephone for structured interviews.RESULTS: A total of 22 facilities in Denmark were found to receive traumatized patients. All facilities used a trauma care manual and all had a multidisciplinary trauma team. The study found three different trauma team activation criteria and nine different compositions of teams who participate in trauma care. Training was heterogeneous and, beyond the major trauma centers, databases were only maintained in a few facilities.CONCLUSION: The study established an inventory of the existing Danish facilities that receive traumatized patients. The trauma team activation criteria and the trauma teams were heterogeneous in both size and composition. A national database for traumatized patients, research on nationwide trauma team activation criteria, and team composition guidelines are all called for.

AB - BACKGROUND: Trauma is a leading cause of death among adults aged < 44 years, and optimal care is a challenge. Evidence supports the centralization of trauma facilities and the use multidisciplinary trauma teams. Because knowledge is sparse on the existing distribution of trauma facilities and the organisation of trauma care in Denmark, the aim of this study was to identify all Danish facilities that care for traumatized patients and to investigate the diversity in organization of trauma management.METHODS: We conducted a systematic observational cross-sectional study. First, all hospitals in Denmark were identified via online services and clarifying phone calls to each facility. Second, all trauma care manuals on all facilities that receive traumatized patients were gathered. Third, anesthesiologists and orthopedic surgeons on call at all trauma facilities were contacted via telephone for structured interviews.RESULTS: A total of 22 facilities in Denmark were found to receive traumatized patients. All facilities used a trauma care manual and all had a multidisciplinary trauma team. The study found three different trauma team activation criteria and nine different compositions of teams who participate in trauma care. Training was heterogeneous and, beyond the major trauma centers, databases were only maintained in a few facilities.CONCLUSION: The study established an inventory of the existing Danish facilities that receive traumatized patients. The trauma team activation criteria and the trauma teams were heterogeneous in both size and composition. A national database for traumatized patients, research on nationwide trauma team activation criteria, and team composition guidelines are all called for.

KW - Journal Article

U2 - 10.1186/s13049-018-0486-1

DO - 10.1186/s13049-018-0486-1

M3 - Journal article

C2 - 29587862

VL - 26

JO - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

JF - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

SN - 1757-7241

IS - 22

ER -

ID: 53794198