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Preventable trauma deaths: from panel review to population based-studies

Authors
  • Chiara, Osvaldo1
  • Cimbanassi, Stefania1
  • Pitidis, Alessio2
  • Vesconi, Sergio3
  • 1 University of Milano, Niguarda Ca'Granda Hospital, Trauma Team, Post-Graduate School of General Surgery, Italy
  • 2 National Institute of Health of the Ministry of Health, Rome, Italy , Rome
  • 3 University of Milano, Niguarda Ca'Granda Hospital Division of Anesthesiology and Intensive Care, Post-Graduate School of Anesthesiology and Intensive Care, Italy
Type
Published Article
Journal
World Journal of Emergency Surgery
Publisher
Springer (Biomed Central Ltd.)
Publication Date
Apr 11, 2006
Volume
1
Issue
1
Identifiers
DOI: 10.1186/1749-7922-1-12
Source
Springer Nature
Keywords
License
Green

Abstract

Preventable trauma deaths are defined as deaths which could be avoided if optimal care has been delivered. Studies on preventable trauma deaths have been accomplished initially with panel reviews of pre-hospital and hospital charts. However, several investigators questioned the reliability and validity of this method because of low reproducibility of implicit judgments when they are made by different experts. Nevertheless, number of studies were published all around the world and ultimately gained some credibility, particularly in regions where comparisons were made before and after trauma system implementation with a resultant fall in mortality. During the last decade of century the method of comparing observed survival with probability of survival calculated from large trauma registries has obtained popularity. Preventable trauma deaths were identified as deaths occurred notwithstanding a high calculated probability of survival. In recent years, preventable trauma deaths studies have been replaced by population-based studies, which use databases representative of overall population, therefore with high epidemiologic value. These databases contain readily available information which carry out the advantage of objectivity and large numbers. Nowadays, population-based researches provide the strongest evidence regarding the effectiveness of trauma systems and trauma centers on patient outcomes.

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