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Table 3 Outcome, post-traumatic management, and society integrational effect indicators (VAE ventilator-associated events, TBI traumatic brain injury, ED emergency department, ICU intensive care unit, OR operating room)

From: Trauma quality indicators: internationally approved core factors for trauma management quality evaluation

Category

Subcategory

Indicator

Patients

Outcome

Admission data

ICU lenght of stay

Patients admitted to ICU

Lenght of stay

All patients

Ventilator-associated events (VAE)

All patients

Adverse events (according to Clavien-Dindo classification)

Complications during hospital stay

All patients

Pulmonary embolus

All patients

Mortality

Mortality rate

Admitted patients

Death < 48 h after arrival

All patients

Deaths >1 h after arrival occur on ward (not in ED)

Vital signs on arrival

Death > 48 h after arrival

All patients

Mortality in severe TBI

Severe TBI

Penetrating injury mortality

Patients with penetrating injury

Blunt multisystem injury mortality

Patients with multisystem injury

Blunt single-system mortality

Patients with single-system injury

TBI deaths > 3 h following arrival in level III/IV center

TBI with GCS >12 and max head AIS > max AIS in other anatomic regions

Failure to rescue (severe)

Patients died with unsolved severe complication

Patients who died among those with Clavien-Dindo grades 3–5 complications

Functional outcome

Evaluation of patient functional status (at hospital)

All patients

Outcomes review

Peer review of trauma deaths to evaluate quality of care and determine whether the death was potentially preventable

Dead patients

Early post-op events

Tertiary survey

All patients

Unexpected return to OR

All operated patients with no ongoing damage control surgery

Post-traumatic management

 

Long-term physical disability facilities/support

All patients

Psychological disability facilities/support

All patients

Behavioral change and secondary health loss quantification

All patients

Tangible costs quantification

All patients

Intangible costs quantification

All patients

Society integrational effects

 

Observer consequences evaluation/support

All patients

Carer consequences evaluation/support

All patients

Dependent consequence evaluation/support

All patients