Skip to main content
Log in

Trauma Registration in a Dutch Trauma Population with Emphasis on Quality of Care

  • Original Article
  • Published:
European Journal of Trauma Aims and scope Submit manuscript

Abstract

We prospectively evaluated the care of all acutely trauma patients admitted to the St. Elisabeth Hospital, Tilburg, The Netherlands, during 3 consecutive years (1996 through 1998). Data were compiled in a physician operating round the clock available electronic medical record. A total of 2849 patients were included (60% male). More than 95% suffered from a blunt trauma. Out of 2849 admitted patients 115 died.

Compared with the Major Trauma Outcome Study (MTOS), the survival rates revealed at St. Elisabeth Hospital suggest a negative difference (98.1% vs. 96%). However, evaluating population differences between MTOS and our population comparing survival probabilities based upon ISS/AIS (Injury Severity Score/Abbreviated Injury Score) and RTS (Revised Trauma Score), making comparison hazardous. The evaluation of our deceased patients showed that 56% of deaths is due to severe head injury, whereas 22% of the deceased patient population consisted of patients with femoral neck fractures and minimal physiological reserve.

We conclude that TRISS (Trauma Injury Severity Score) method provides a good basis for evaluation of trauma care also in a non-US environment. However, due to population differences, care should be taken drawing overall conclusions. Obvious differences of results revealed at first sight should be submitted to further meticulous evaluation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Author information

Authors and Affiliations

Authors

Additional information

Received: June 9, 2000; revision accepted: September 21, 2000.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Vles, W., Kroezen, F., Meeuwis, J. et al. Trauma Registration in a Dutch Trauma Population with Emphasis on Quality of Care. Eur J Trauma 26, 248–255 (2000). https://doi.org/10.1007/PL00002448

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/PL00002448

Navigation