WEKO3
アイテム
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Failure-to-rescue (FTR) is defined as death after a surgical complication, which is an institution-level\nsurgical safety and quality metric that is an important variable affecting mortality rates in hospitals. This study aims to\nexamine whether complication and FTR are different across low- and high-mortality hospitals for trauma care.\n\nMethods: This was a retrospective cohort study performed at trauma care hospitals registered at Japan Trauma Data\nBank (JTDB) from 2004 to 2017. Trauma patients aged ≥ 15 years with injury severity score (ISS) of ≥ 3 and those who\nsurvived for \u003e 48 h after hospital admission were included. The hospitals in JTDB were categorized into three groups by\nstandardized mortality rate. We compared trauma complications, FTR, and in-hospital mortality by a standardized\nmortality rate (divided by the institute-level quartile).\n\nResults: Among 184,214 patients that were enrolled, the rate of any complication was 12.7%. The overall mortality rate\nwas 3.7%, and the mortality rate among trauma patients without complications was only 2.8% (non-precedented deaths).\nHowever, the mortality rate among trauma patients with any complications was 10.2% (FTR). Hospitals were categorized\ninto high- (40 facilities with 44,773 patients), average- (72 facilities with 102,368 patients), and low- (39 facilities with 37,073\npatients) mortality hospitals, using the hospital ranking of a standardized mortality rate. High-mortality hospitals showed\nlower ISS than low-mortality hospitals [10 (IQR, 9–18) vs. 11 (IQR, 9–20), P \u003c 0.01]. Patients in high-mortality hospitals\nshowed more complications (14.2% vs. 11.2%, P \u003c 0.01), in-hospital mortality (5.1% vs. 2.5%, P \u003c 0.01), FTR (13.6% vs. 7.4%,\nP \u003c 0.01), and non-precedented deaths (3.6% vs. 1.9%, P \u003c 0.01) than those in low-mortality hospitals.\n\nConclusions: Unlike reports of elective surgery, complication rates and FTR are associated with in-hospital mortality rates\nat the center level in trauma care.", "subitem_description_language": "en", "subitem_description_type": "Abstract"}]}, "item_5_publisher_27": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "Springer Nature", "subitem_publisher_language": "en"}]}, "item_5_relation_10": {"attribute_name": "PubMed番号", "attribute_value_mlt": [{"subitem_relation_type_id": {"subitem_relation_type_id_text": "32414401", "subitem_relation_type_select": "PMID"}}]}, "item_5_relation_11": {"attribute_name": "DOI", "attribute_value_mlt": [{"subitem_relation_type": "isIdenticalTo", "subitem_relation_type_id": {"subitem_relation_type_id_text": "https://doi.org/10.1186/s13054-020-02951-1", "subitem_relation_type_select": "DOI"}}]}, "item_5_relation_13": {"attribute_name": "情報源", "attribute_value_mlt": [{"subitem_relation_type_id": {"subitem_relation_type_id_text": "10.1186/s13054-020-02951-1", "subitem_relation_type_select": "DOI"}}]}, "item_5_relation_39": {"attribute_name": "関連情報", "attribute_value_mlt": [{"subitem_relation_type_id": {"subitem_relation_type_id_text": "10.1186/s13054-020-02951-1", "subitem_relation_type_select": "DOI"}}]}, "item_5_relation_9": {"attribute_name": "書誌レコードID", "attribute_value_mlt": [{"subitem_relation_type_id": {"subitem_relation_type_id_text": "10.1186/s13054-020-02951-1", "subitem_relation_type_select": "DOI"}}]}, "item_5_rights_12": {"attribute_name": "権利", "attribute_value_mlt": [{"subitem_rights": "© The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article\u0027s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article\u0027s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. 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Trauma complications and in-hospital mortality: failure-to-rescue
http://hdl.handle.net/2241/0002001510
http://hdl.handle.net/2241/000200151065247e90-54e9-448b-b8de-7e539d630023
名前 / ファイル | ライセンス | アクション |
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CC_24-223.pdf (1 MB)
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Item type | Journal Article(1) | |||||||||||||||||||||||
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公開日 | 2021-10-04 | |||||||||||||||||||||||
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言語 | en | |||||||||||||||||||||||
タイトル | Trauma complications and in-hospital mortality: failure-to-rescue | |||||||||||||||||||||||
言語 | ||||||||||||||||||||||||
言語 | eng | |||||||||||||||||||||||
資源タイプ | ||||||||||||||||||||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||||||||||
タイプ | journal article | |||||||||||||||||||||||
アクセス権 | ||||||||||||||||||||||||
アクセス権 | open access | |||||||||||||||||||||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||||||||||||||||||
著者 |
Abe, Toshikazu
× Abe, Toshikazu
× Komori, Akira
× Shiraishi, Atsushi
× 杉山, 雄大
WEKO
204429
× Iriyama, Hiroki
× Kainoh, Takako
× Saitoh, Daizoh
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抄録 | ||||||||||||||||||||||||
内容記述タイプ | Abstract | |||||||||||||||||||||||
内容記述 | Background: Reducing medical errors and minimizing complications have become the focus of quality improvement in medicine. Failure-to-rescue (FTR) is defined as death after a surgical complication, which is an institution-level surgical safety and quality metric that is an important variable affecting mortality rates in hospitals. This study aims to examine whether complication and FTR are different across low- and high-mortality hospitals for trauma care. Methods: This was a retrospective cohort study performed at trauma care hospitals registered at Japan Trauma Data Bank (JTDB) from 2004 to 2017. Trauma patients aged ≥ 15 years with injury severity score (ISS) of ≥ 3 and those who survived for > 48 h after hospital admission were included. The hospitals in JTDB were categorized into three groups by standardized mortality rate. We compared trauma complications, FTR, and in-hospital mortality by a standardized mortality rate (divided by the institute-level quartile). Results: Among 184,214 patients that were enrolled, the rate of any complication was 12.7%. The overall mortality rate was 3.7%, and the mortality rate among trauma patients without complications was only 2.8% (non-precedented deaths). However, the mortality rate among trauma patients with any complications was 10.2% (FTR). Hospitals were categorized into high- (40 facilities with 44,773 patients), average- (72 facilities with 102,368 patients), and low- (39 facilities with 37,073 patients) mortality hospitals, using the hospital ranking of a standardized mortality rate. High-mortality hospitals showed lower ISS than low-mortality hospitals [10 (IQR, 9–18) vs. 11 (IQR, 9–20), P < 0.01]. Patients in high-mortality hospitals showed more complications (14.2% vs. 11.2%, P < 0.01), in-hospital mortality (5.1% vs. 2.5%, P < 0.01), FTR (13.6% vs. 7.4%, P < 0.01), and non-precedented deaths (3.6% vs. 1.9%, P < 0.01) than those in low-mortality hospitals. Conclusions: Unlike reports of elective surgery, complication rates and FTR are associated with in-hospital mortality rates at the center level in trauma care. |
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言語 | en | |||||||||||||||||||||||
書誌情報 |
en : Critical Care 巻 24, 号 1, p. 223, 発行日 2020-05 |
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収録物識別子タイプ | PISSN | |||||||||||||||||||||||
収録物識別子 | 1364-8535 | |||||||||||||||||||||||
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収録物識別子タイプ | NCID | |||||||||||||||||||||||
収録物識別子 | AA11695602 | |||||||||||||||||||||||
PubMed番号 | ||||||||||||||||||||||||
識別子タイプ | PMID | |||||||||||||||||||||||
関連識別子 | 32414401 | |||||||||||||||||||||||
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関連タイプ | isIdenticalTo | |||||||||||||||||||||||
識別子タイプ | DOI | |||||||||||||||||||||||
関連識別子 | https://doi.org/10.1186/s13054-020-02951-1 | |||||||||||||||||||||||
権利 | ||||||||||||||||||||||||
言語 | en | |||||||||||||||||||||||
権利情報 | © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. | |||||||||||||||||||||||
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値 | publisher | |||||||||||||||||||||||
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言語 | en | |||||||||||||||||||||||
出版者 | Springer Nature | |||||||||||||||||||||||
関連情報 | ||||||||||||||||||||||||
識別子タイプ | DOI | |||||||||||||||||||||||
関連識別子 | 10.1186/s13054-020-02951-1 | |||||||||||||||||||||||
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識別子タイプ | DOI | |||||||||||||||||||||||
関連識別子 | 10.1186/s13054-020-02951-1 |