Comparison of trauma mortality between two hospitals in Turkey to one trauma center in the US

Emily Squyer, Robert A. Cherry, Eric Lehman, Sedat Yanturali, Isa Kilicaslan, Cem Oktay, C. James Holliman

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objectives The development of comprehensive international trauma case registries could be used to perform outcomes analysis and comparisons between countries with the goal of improving trauma care worldwide. Methods A retrospective study (April 2004 to April 2005) of injured patients from a Pennsylvania state trauma center (PSTC) were case matched according to age, sex, and injury severity score with two Turkish hospitals. Patients' demographics (age, sex), prehospital information (mechanism of injury, mode of transportation), injury severity (injury severity score and Glasgow coma score), and outcomes (intensive care unit length of stay, hospital length of stay, mortality) were collected. Statistical analysis: P value of less than 0.05, odds ratio (OR), v2 test, two-sample t-test, mean ±SD. Results Medical records from 506 Turkish trauma patients were abstracted and compared with 506 injured patients in the PSTC registry. Patients in Turkey presented more commonly with a Glasgow coma score of less than or equal to 8 (13.09 vs. 4.26%, P <0.01, OR 3.38) had increased mortality (8.30 vs. 0.79%, P < 0.01, OR 11.36) and required mechanical ventilation more than 1 day more often (16.44 vs. 8.75%, P < 0.01, OR 2.05). Motor vehicle crashes were the leading cause of injury in both groups. Assaults and falls were more frequent in the PSTC. Pedestrian injuries were more common and had higher mortality rates in Turkey (P <0.05). Conclusion This study demonstrates significantly worse outcomes in trauma care and higher mortality rates in Turkey versus PSTC. Developing a trauma registry to monitor improvements in patient care and to target injury prevention strategies should be a high priority for the Turkish healthcare system.

Original languageEnglish (US)
Pages (from-to)209-213
Number of pages5
JournalEuropean Journal of Emergency Medicine
Volume15
Issue number4
DOIs
StatePublished - Aug 1 2008

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Trauma Centers
Turkey
Mortality
Wounds and Injuries
Odds Ratio
Registries
Length of Stay
Injury Severity Score
Coma
Motor Vehicles
Artificial Respiration
Medical Records
Intensive Care Units
Patient Care
Retrospective Studies
Demography
Delivery of Health Care

All Science Journal Classification (ASJC) codes

  • Emergency Medicine

Cite this

Squyer, Emily ; Cherry, Robert A. ; Lehman, Eric ; Yanturali, Sedat ; Kilicaslan, Isa ; Oktay, Cem ; Holliman, C. James. / Comparison of trauma mortality between two hospitals in Turkey to one trauma center in the US. In: European Journal of Emergency Medicine. 2008 ; Vol. 15, No. 4. pp. 209-213.
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abstract = "Objectives The development of comprehensive international trauma case registries could be used to perform outcomes analysis and comparisons between countries with the goal of improving trauma care worldwide. Methods A retrospective study (April 2004 to April 2005) of injured patients from a Pennsylvania state trauma center (PSTC) were case matched according to age, sex, and injury severity score with two Turkish hospitals. Patients' demographics (age, sex), prehospital information (mechanism of injury, mode of transportation), injury severity (injury severity score and Glasgow coma score), and outcomes (intensive care unit length of stay, hospital length of stay, mortality) were collected. Statistical analysis: P value of less than 0.05, odds ratio (OR), v2 test, two-sample t-test, mean ±SD. Results Medical records from 506 Turkish trauma patients were abstracted and compared with 506 injured patients in the PSTC registry. Patients in Turkey presented more commonly with a Glasgow coma score of less than or equal to 8 (13.09 vs. 4.26{\%}, P <0.01, OR 3.38) had increased mortality (8.30 vs. 0.79{\%}, P < 0.01, OR 11.36) and required mechanical ventilation more than 1 day more often (16.44 vs. 8.75{\%}, P < 0.01, OR 2.05). Motor vehicle crashes were the leading cause of injury in both groups. Assaults and falls were more frequent in the PSTC. Pedestrian injuries were more common and had higher mortality rates in Turkey (P <0.05). Conclusion This study demonstrates significantly worse outcomes in trauma care and higher mortality rates in Turkey versus PSTC. Developing a trauma registry to monitor improvements in patient care and to target injury prevention strategies should be a high priority for the Turkish healthcare system.",
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Comparison of trauma mortality between two hospitals in Turkey to one trauma center in the US. / Squyer, Emily; Cherry, Robert A.; Lehman, Eric; Yanturali, Sedat; Kilicaslan, Isa; Oktay, Cem; Holliman, C. James.

In: European Journal of Emergency Medicine, Vol. 15, No. 4, 01.08.2008, p. 209-213.

Research output: Contribution to journalArticle

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N2 - Objectives The development of comprehensive international trauma case registries could be used to perform outcomes analysis and comparisons between countries with the goal of improving trauma care worldwide. Methods A retrospective study (April 2004 to April 2005) of injured patients from a Pennsylvania state trauma center (PSTC) were case matched according to age, sex, and injury severity score with two Turkish hospitals. Patients' demographics (age, sex), prehospital information (mechanism of injury, mode of transportation), injury severity (injury severity score and Glasgow coma score), and outcomes (intensive care unit length of stay, hospital length of stay, mortality) were collected. Statistical analysis: P value of less than 0.05, odds ratio (OR), v2 test, two-sample t-test, mean ±SD. Results Medical records from 506 Turkish trauma patients were abstracted and compared with 506 injured patients in the PSTC registry. Patients in Turkey presented more commonly with a Glasgow coma score of less than or equal to 8 (13.09 vs. 4.26%, P <0.01, OR 3.38) had increased mortality (8.30 vs. 0.79%, P < 0.01, OR 11.36) and required mechanical ventilation more than 1 day more often (16.44 vs. 8.75%, P < 0.01, OR 2.05). Motor vehicle crashes were the leading cause of injury in both groups. Assaults and falls were more frequent in the PSTC. Pedestrian injuries were more common and had higher mortality rates in Turkey (P <0.05). Conclusion This study demonstrates significantly worse outcomes in trauma care and higher mortality rates in Turkey versus PSTC. Developing a trauma registry to monitor improvements in patient care and to target injury prevention strategies should be a high priority for the Turkish healthcare system.

AB - Objectives The development of comprehensive international trauma case registries could be used to perform outcomes analysis and comparisons between countries with the goal of improving trauma care worldwide. Methods A retrospective study (April 2004 to April 2005) of injured patients from a Pennsylvania state trauma center (PSTC) were case matched according to age, sex, and injury severity score with two Turkish hospitals. Patients' demographics (age, sex), prehospital information (mechanism of injury, mode of transportation), injury severity (injury severity score and Glasgow coma score), and outcomes (intensive care unit length of stay, hospital length of stay, mortality) were collected. Statistical analysis: P value of less than 0.05, odds ratio (OR), v2 test, two-sample t-test, mean ±SD. Results Medical records from 506 Turkish trauma patients were abstracted and compared with 506 injured patients in the PSTC registry. Patients in Turkey presented more commonly with a Glasgow coma score of less than or equal to 8 (13.09 vs. 4.26%, P <0.01, OR 3.38) had increased mortality (8.30 vs. 0.79%, P < 0.01, OR 11.36) and required mechanical ventilation more than 1 day more often (16.44 vs. 8.75%, P < 0.01, OR 2.05). Motor vehicle crashes were the leading cause of injury in both groups. Assaults and falls were more frequent in the PSTC. Pedestrian injuries were more common and had higher mortality rates in Turkey (P <0.05). Conclusion This study demonstrates significantly worse outcomes in trauma care and higher mortality rates in Turkey versus PSTC. Developing a trauma registry to monitor improvements in patient care and to target injury prevention strategies should be a high priority for the Turkish healthcare system.

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