Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 May 26;19(2):227-233.
doi: 10.13004/kjnt.2023.19.e16. eCollection 2023 Jun.

Comparison of Preventable Trauma Death Rates in Patients With Traumatic Brain Injury Before and After the Establishment of Regional Trauma Center: A Single Center Experience

Dae Han Choi  1 , Tae Seok Jeong  1 , Myung Jin Jang  2
Affiliations
Review

Comparison of Preventable Trauma Death Rates in Patients With Traumatic Brain Injury Before and After the Establishment of Regional Trauma Center: A Single Center Experience

Dae Han Choi et al. Korean J Neurotrauma. .

Abstract

Objective: To compare preventable trauma death rates (PTDRs) in patients with traumatic brain injury before and after the establishment of a regional trauma center (RTC) at a single center.

Methods: Our institution established an RTC in 2014. A total of 709 patients were enrolled from January 2011 to December 2013 (before RTC) and 672 from January 2019 to December 2021 (after RTC). The revised trauma score, injury severity score, and trauma and injury severity score (TRISS) were evaluated. Definitive preventable (DP), possibly preventable (PP), and non-preventable deaths were defined as TRISS >0.5, TRISS 0.25-0.5, and TRISS <0.25, respectively. PTDR was the proportion of deaths from DP+PP out of all deaths, and the preventable major trauma death rate (PMTDR) was the proportion of deaths from DP+PP out of all DP+PP.

Results: The overall mortality rates before and after the establishment of RTC were 20.3 and 13.1%, respectively. PTDR was lower after the establishment of RTC than before (90.3% vs. 79.5%). The PMTDR was also lower after the establishment of RTC than before (18.8% vs. 9.7%). The ratio of direct hospital visits was higher in patients before the establishment of RTC than in those after (74.9% vs. 61.3%, p<0.001).

Conclusion: Establishing the RTC reduced PTDRs. Additional studies on factors associated with PTDR reduction are required.

Keywords: Injury severity score; Mortality; Trauma center; Traumatic brain injury; Treatment outcome.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: The authors have no financial conflicts of interest.

References

    1. Brain Trauma Foundation; American Association of Neurological Surgeons; Congress of Neurological Surgeons; Joint Section on Neurotrauma and Critical Care, AANS/CNS. Bratton SL, Chestnut RM, et al. Guidelines for the management of severe traumatic brain injury. VIII. Intracranial pressure thresholds. J Neurotrauma. 2007;24(Suppl 1):S55–S58. - PubMed
    1. Champion HR, Copes WS, Sacco WJ, Lawnick MM, Keast SL, Bain LW, Jr, et al. The Major Trauma Outcome Study: establishing national norms for trauma care. J Trauma. 1990;30:1356–1365. - PubMed
    1. Chiara O, Cimbanassi S, Pitidis A, Vesconi S. Preventable trauma deaths: from panel review to population based-studies. World J Emerg Surg. 2006;1:12. - PMC - PubMed
    1. Domingues CA, de Sousa RM, Nogueira LS, Poggetti RS, Fontes B, Muñoz D. The role of the new trauma and injury severity score (NTRISS) for survival prediction. Rev Esc Enferm USP. 2011;45:1353–1358. - PubMed
    1. Domingues CA, Coimbra R, Poggetti RS, Nogueira LS, de Sousa RM. New trauma and injury severity score (TRISS) adjustments for survival prediction. World J Emerg Surg. 2018;13:12. - PMC - PubMed