European Journal of Trauma and Emergency Surgery / Marzi, Ingo . 2008Published date : 02/23/2018 |
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Add the result to your basketEvaluating the need to reform the organisation of care for major trauma patients in Belgium: an analysis of administrative databases / Koen Van Den Heede in European Journal of Trauma and Emergency Surgery, 2008 ([02/23/2018])
[article] Evaluating the need to reform the organisation of care for major trauma patients in Belgium: an analysis of administrative databases [printed text] / Koen Van Den Heede , Author ; Cécile Dubois , Author ; Patriek Mistiaen , Author ; Sabine Stordeur, Author ; Audrey Cordon, Author ; Maria-Isabel Farfan-Portet, Author . - 2018.
Languages : English (eng)
in European Journal of Trauma and Emergency Surgery > 2008 [02/23/2018]
Descriptors: Classification
W 1 Serials. Periodicals
Indexation
Belgium ; Health Care Reform ; Peer Review ; Quality of Health Care ; Trauma CentersAbstract: Abstract
Purpose In light of the international evolutions to establish inclusive trauma systems and to concentrate the care for the most
severely injured in major trauma centres, we evaluated the degree of dispersion of trauma care in Belgium.
Methods We used descriptive statistics to illustrate the dispersion of major trauma care in Belgium based on two independent
administrative databases: the registry of Mobile Intensive Care Units (2009–2015) and the Belgian Hospital Discharge
Dataset (2009–2014).
Results Patients with a severe trauma (n = 3856 in 2015) were transported towards 145 different hospital sites (on a total of
198 hospital sites) resulting in a median of 17 cases per hospital site (min = 1; P25 = 4; P75 = 30; max = 165). A minority
of major trauma patients is after admission transferred to another hospital (8%) with a median of 10 days after admission to
the hospital (IQR 3.5–24).
Conclusions The dispersion of care for major trauma patients in Belgium is so high that a reorganisation of care for severe
injured patients in major trauma centres concentrating professional expertiseLink for e-copy: https://www.springer.com/medicine/surgery/journal/68 Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4459 [article]