Trauma facilities in Denmark - a nationwide cross-sectional benchmark study of facilities and trauma care organisation

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dc.contributor.authorWeile, Jesper
dc.contributor.authorNielsen, Klaus
dc.contributor.authorPrimdahl, Stine C
dc.contributor.authorFrederiksen, Christian A
dc.contributor.authorLaursen, Christian B
dc.contributor.authorSloth, Erik
dc.contributor.authorMølgaard, Ole
dc.contributor.authorKnudsen, Lars
dc.contributor.authorKirkegaard, Hans
dc.date.accessioned2018-05-07T10:26:08Z
dc.date.available2018-05-07T10:26:08Z
dc.date.issued2018-03-27
dc.date.updated2018-04-09T15:14:18Z
dc.description.abstractBackground Trauma is a leading cause of death among adults aged < 44 years, and optimal care is a challenge. Evidence supports the centralization of trauma facilities and the use multidisciplinary trauma teams. Because knowledge is sparse on the existing distribution of trauma facilities and the organisation of trauma care in Denmark, the aim of this study was to identify all Danish facilities that care for traumatized patients and to investigate the diversity in organization of trauma management. Methods We conducted a systematic observational cross-sectional study. First, all hospitals in Denmark were identified via online services and clarifying phone calls to each facility. Second, all trauma care manuals on all facilities that receive traumatized patients were gathered. Third, anesthesiologists and orthopedic surgeons on call at all trauma facilities were contacted via telephone for structured interviews. Results A total of 22 facilities in Denmark were found to receive traumatized patients. All facilities used a trauma care manual and all had a multidisciplinary trauma team. The study found three different trauma team activation criteria and nine different compositions of teams who participate in trauma care. Training was heterogeneous and, beyond the major trauma centers, databases were only maintained in a few facilities. Conclusion The study established an inventory of the existing Danish facilities that receive traumatized patients. The trauma team activation criteria and the trauma teams were heterogeneous in both size and composition. A national database for traumatized patients, research on nationwide trauma team activation criteria, and team composition guidelines are all called for.
dc.identifier.apacitationWeile, J., Nielsen, K., Primdahl, S. C., Frederiksen, C. A., Laursen, C. B., Sloth, E., ... Kirkegaard, H. (2018). Trauma facilities in Denmark - a nationwide cross-sectional benchmark study of facilities and trauma care organisation. <i>Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine</i>, http://hdl.handle.net/11427/27966en_ZA
dc.identifier.chicagocitationWeile, Jesper, Klaus Nielsen, Stine C Primdahl, Christian A Frederiksen, Christian B Laursen, Erik Sloth, Ole Mølgaard, Lars Knudsen, and Hans Kirkegaard "Trauma facilities in Denmark - a nationwide cross-sectional benchmark study of facilities and trauma care organisation." <i>Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine</i> (2018) http://hdl.handle.net/11427/27966en_ZA
dc.identifier.citationScandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2018 Mar 27;26(1):22
dc.identifier.ris TY - Journal Article AU - Weile, Jesper AU - Nielsen, Klaus AU - Primdahl, Stine C AU - Frederiksen, Christian A AU - Laursen, Christian B AU - Sloth, Erik AU - Mølgaard, Ole AU - Knudsen, Lars AU - Kirkegaard, Hans AB - Background Trauma is a leading cause of death among adults aged < 44 years, and optimal care is a challenge. Evidence supports the centralization of trauma facilities and the use multidisciplinary trauma teams. Because knowledge is sparse on the existing distribution of trauma facilities and the organisation of trauma care in Denmark, the aim of this study was to identify all Danish facilities that care for traumatized patients and to investigate the diversity in organization of trauma management. Methods We conducted a systematic observational cross-sectional study. First, all hospitals in Denmark were identified via online services and clarifying phone calls to each facility. Second, all trauma care manuals on all facilities that receive traumatized patients were gathered. Third, anesthesiologists and orthopedic surgeons on call at all trauma facilities were contacted via telephone for structured interviews. Results A total of 22 facilities in Denmark were found to receive traumatized patients. All facilities used a trauma care manual and all had a multidisciplinary trauma team. The study found three different trauma team activation criteria and nine different compositions of teams who participate in trauma care. Training was heterogeneous and, beyond the major trauma centers, databases were only maintained in a few facilities. Conclusion The study established an inventory of the existing Danish facilities that receive traumatized patients. The trauma team activation criteria and the trauma teams were heterogeneous in both size and composition. A national database for traumatized patients, research on nationwide trauma team activation criteria, and team composition guidelines are all called for. DA - 2018-03-27 DB - OpenUCT DO - 10.1186/s13049-018-0486-1 DP - University of Cape Town J1 - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine LK - https://open.uct.ac.za PB - University of Cape Town PY - 2018 T1 - Trauma facilities in Denmark - a nationwide cross-sectional benchmark study of facilities and trauma care organisation TI - Trauma facilities in Denmark - a nationwide cross-sectional benchmark study of facilities and trauma care organisation UR - http://hdl.handle.net/11427/27966 ER - en_ZA
dc.identifier.urihttp://dx.doi.org/10.1186/s13049-018-0486-1
dc.identifier.urihttp://hdl.handle.net/11427/27966
dc.identifier.vancouvercitationWeile J, Nielsen K, Primdahl SC, Frederiksen CA, Laursen CB, Sloth E, et al. Trauma facilities in Denmark - a nationwide cross-sectional benchmark study of facilities and trauma care organisation. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2018; http://hdl.handle.net/11427/27966.en_ZA
dc.language.isoen
dc.publisherBioMed Central
dc.publisher.departmentDepartment of Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rights.holderThe Author(s).
dc.sourceScandinavian Journal of Trauma, Resuscitation and Emergency Medicine
dc.source.urihttps://sjtrem.biomedcentral.com/
dc.titleTrauma facilities in Denmark - a nationwide cross-sectional benchmark study of facilities and trauma care organisation
dc.typeJournal Article
uct.type.filetypeText
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