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Trauma facilities in Denmark - a nationwide cross-sectional benchmark study of facilities and trauma care organisation.
Weile, Jesper; Nielsen, Klaus; Primdahl, Stine C; Frederiksen, Christian A; Laursen, Christian B; Sloth, Erik; Mølgaard, Ole; Knudsen, Lars; Kirkegaard, Hans.
Afiliación
  • Weile J; Emergency Department, Regional Hospital Herning, Herning, Denmark. jesper.weile@clin.au.dk.
  • Nielsen K; Research Center for Emergency Medicine, Aarhus University Hospital, Nørrebrogade 44, building 1B, 8000, Aarhus C, Denmark. jesper.weile@clin.au.dk.
  • Primdahl SC; Department of Medicine, Section of Respiratory Medicine, University Hospital Hvidovre, Hvidovre, Denmark.
  • Frederiksen CA; Emergency Department, Regional Hospital Herning, Herning, Denmark.
  • Laursen CB; Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
  • Sloth E; Department of Respiratory Medicine, Odense University Hospital, Odense, Denmark.
  • Mølgaard O; University of Cape Town, Cape Town, South Africa.
  • Knudsen L; Emergency Department, Aarhus University Hospital, Aarhus, Denmark.
  • Kirkegaard H; Department of Anesthesiology and Intensive Care, Aarhus University Hospital, Aarhus, Denmark.
Scand J Trauma Resusc Emerg Med ; 26(1): 22, 2018 Mar 27.
Article en En | MEDLINE | ID: mdl-29587862
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Centros Traumatológicos / Benchmarking / Hospitales Tipo de estudio: Clinical_trials / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Humans País/Región como asunto: Europa Idioma: En Revista: Scand J Trauma Resusc Emerg Med Asunto de la revista: MEDICINA DE EMERGENCIA / TRAUMATOLOGIA Año: 2018 Tipo del documento: Article País de afiliación: Dinamarca Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Centros Traumatológicos / Benchmarking / Hospitales Tipo de estudio: Clinical_trials / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Humans País/Región como asunto: Europa Idioma: En Revista: Scand J Trauma Resusc Emerg Med Asunto de la revista: MEDICINA DE EMERGENCIA / TRAUMATOLOGIA Año: 2018 Tipo del documento: Article País de afiliación: Dinamarca Pais de publicación: Reino Unido