This repository includes the manuscript and code for the research project on opportunities for improvement in adult trauma patients admitted to the intensive care unit.
Trauma, the clinical entity composed of physical injury and the body’s associated response, is aleading cause of mortality and morbidity worldwide. A cornerstone of trauma qualityimprovement programs is multidisciplinary mortality and morbidity review to identifyopportunities for improvement (OFI) and implement corrective actions. Examples ofopportunities for improvement may include lack of resources and management errors. Manypatients with severe trauma is admitted to the intensive care unit (ICU), but little is known aboutopportunities for improvement in this group of patients.
To characterise OFI in adult trauma patients admitted to the ICU and assess how patient factorsare associated with OFI in these patients.
This is a registry based cohort study using data from the trauma registry and trauma care qualitydatabase at the Karolinska University Hospital in Solna. The trauma registry includes about12000 patients treated between 2012 and 2022. The trauma care quality database is a subset of thetrauma registry and includes about 6000 patients selected for review between 2014 and 2022. Theoutcome is OFI, as identified by the multidisciplinary review board and recorded in the traumacare quality database. This project will link the two databases and assess what types of OFIoccured in ICU patients and how different patient factors, such as age, sex, mechanism of injury,and injury severity, are associated with OFI using logistic regression. A 5% significance level and95% confidence levels will be used.