2 April 2016

National Quality Registry for Trauma

  • Registry Manager: Blekinge County Council
  • Registry Centre - affiliation: Registry Centre South
  • Start year: 2011
  • Classifications used: ICD10, AIS injury classification (AAAM)
  • This registry contains data on: Diagnoses, Interventions, Inpatient Care, Follow-up Data 3-5 months after the case is registered in the registry

Description of registry

Trauma – severe injury caused by external violence – is the main cause of death during the first four decades of life in most developed countries. For each fatality due to trauma, three persons suffer disabling injuries. Trauma causes great suffering, significant disability and thus also high costs.

The aims of the registry are:

  • to monitor the continuum of care for trauma patients to identify weaknesses and strengths regarding patient categories, hospital service areas and individual hospitals
  • to focus on inpatient treatment of severe trauma
  • to include a pre-hospital component and have a post-hospital perspective including rehabilitation and final treatment outcome
  • to have nationwide coverage
  • to openly report outcome measures and quality indicators – important dimensions of patient safety
  • to provide data for clinical research and advanced studies

The main process-outcome measures consist of survival with regard to degree of injury (“case mix”), reported per hospital. At discharge, disability is also measured using the internationally established Glasgow Outcome Scale (GOS). Long-term monitoring will be added at a later stage.

One year after its start on 4 September 2012, about 30 of 35 anticipated user hospitals had registered, with about 60 users. The first year’s activities were reported at “Swedish Surgery Week” in Linköping in August 2012. A special website has been created, www.swetrau.se. Anticipated improvements through detailed knowledge concerning the scope and outcomes in trauma care will enable the identification of injury types and care units where there is potential for improvement.

Population

In the absence of national reporting on severe injuries, the number of injuries requiring surgery/intensive care interventions is estimated at a couple of thousand. It is currently unknown whether changes in volume exist, but cases of severe injury are being increasingly linked to politically motivated acts of violence. The number of deaths in traffic accidents is not currently increasing, but developments regarding severe injuries are less known. What can be noted is that the number of bicycle accidents has increased.

Ages in the registry

All ages.

Total volume of registry

Injuries are not common in Swedish healthcare. Yet trauma is still one of the most common causes of death and disability for people of working age. In 2006, the National Board of Health and Welfare’s patient registry registered 75,000 admissions with primary diagnosis trauma (“S diagnosis”), one-third of which prompted surgery. Hip fractures in elderly persons (“low-energy trauma”), and lower leg and foot injuries were excluded.

Volume over the past operating year

1207 (through September 2012)

Coverage rate

Of the 35 care units in the country, 28 hospitals participated as of September 2012. About 15 percent of clinics continuously register all cases. The registry began registration on 13 June 2011. The following care units were participating as of 3 September 2012:

  • Uppsala University Hospital
  • Blekinge Hospital
  • Borås Hospital
  • Danderyd Hospital
  • Falun Hospital
  • Halmstad Regional Hospital
  • Helsingborg Hospital
  • Jönköping Ryhov County Hospital
  • Kalmar
  • Karlstad Central Hospital
  • Karolinska University Hospital in Huddinge
  • Karolinska University Hospital in Solna
  • Kristianstad Central Hospital
  • Kronoberg County Council
  • Lindesberg Hospital
  • Linköping
  • NUS Umeå
  • NÄL-Trollhättan
  • Nyköping Hospital
  • Sahlgrenska US, Gothenburg
  • Skaraborg Hospital Skövde
  • SUS Lund
  • SUS Malmö
  • Stockholm South General Hospital
  • Varberg
  • Västerås
  • Örebro University Hospital
  • Östersund Hospital

Note: Variable lists are updated on a regular basis and should therefore be seen as preliminary. For the latest version, please contact the registry.

Category: Emergency, anaesthesia and intensive care

Certification level: 3

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