Preventable trauma deaths: from panel review to population based-studies
2006

Preventable Trauma Deaths: A Review of Studies

publication Evidence: moderate

Author Information

Author(s): Chiara Osvaldo, Cimbanassi Stefania, Pitidis Alessio, Vesconi Sergio

Primary Institution: Niguarda Ca'Granda Hospital, Trauma Team, Post-Graduate School of General Surgery, University of Milano, Italy

Hypothesis

Preventable trauma deaths can be identified and reduced through systematic evaluation of trauma care.

Conclusion

Studies show a significant decline in preventable trauma deaths after the implementation of organized trauma systems.

Supporting Evidence

  • Preventable trauma deaths are defined as deaths which could be avoided if optimal care has been delivered.
  • Panel studies evaluated a number of deaths from 42 to 255, showing a preventable death rate from 35% to 45% in absence of organized trauma care.
  • Population-based studies provide the strongest evidence regarding the effectiveness of trauma systems and trauma centers on patient outcomes.

Takeaway

Some people die from injuries that could have been treated if the right care was given quickly. By studying these cases, we can learn how to save more lives.

Methodology

The study reviews various methodologies including panel reviews, registry comparisons, and population-based studies to assess preventable trauma deaths.

Potential Biases

Bias may arise from the subjectivity of panel reviews and the limitations of existing databases.

Limitations

The methodologies used have biases and none provide class I or class II evidence.

Digital Object Identifier (DOI)

10.1186/1749-7922-1-12

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