The Utstein template for uniform reporting of data following major trauma: A joint revision by SCANTEM, TARN, DGU-TR and RITG

The Utstein template for uniform reporting of data following major trauma: A joint revision by SCANTEM, TARN, DGU-TR and RITG
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DOI:
10.1186/1757-7241-16-7
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发表时间:
2008-08-01
影响因子:
3.3
通讯作者:
Lossius, Hans Morten
Lossius, Hans Morten
中科院分区:
医学2区
文献类型:
--
作者:
Ringdal, Kjetil G.;Coats, Timothy J.;Lossius, Hans Morten

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背景:1999年,发布了用于统一报告重大创伤后数据的Utstein模板。此后,基于该模板发表的论文寥寥无几,反映出国际社会对其可行性和用途缺乏共识。本次修订的目的是进一步发展乌特斯坦模板,特别是大幅减少核心数据变量的数量,并增加更准确的数据变量定义。此外,我们希望定义一套纳入和排除标准,以促进创伤病例的统一比较。方法:在10个月的时间里,来自欧洲主要创伤登记和组织的选定专家基于修改的名义分组技术进行了Utstein共识过程。结果:专家小组得出结论,新的伤害严重程度评分应作为单一纳入标准,并选择了5个排除标准。35个精确定义的核心数据变量达成一致,并进一步划分为预测模型、系统特征描述符和过程映射的核心数据。结论:通过结构化的协商一致过程,修订了重大创伤后数据统一报告的Utstein模板。这一修订将加强国内和国际创伤系统的比较,并将形成改进创伤护理预测模型的基础。
Background: In 1999, an Utstein Template for Uniform Reporting of Data following Major Trauma was published. Few papers have since been published based on that template, reflecting a lack of international consensus on its feasibility and use. The aim of the present revision was to further develop the Utstein Template, particularly with a major reduction in the number of core data variables and the addition of more precise definitions of data variables. In addition, we wanted to define a set of inclusion and exclusion criteria that will facilitate uniform comparison of trauma cases.Methods: Over a ten-month period, selected experts from major European trauma registries and organisations carried out an Utstein consensus process based on a modified nominal group technique.Results: The expert panel concluded that a New Injury Severity Score > 15 should be used as a single inclusion criterion, and five exclusion criteria were also selected. Thirty-five precisely defined core data variables were agreed upon, with further division into core data for Predictive models, System Characteristic Descriptors and for Process Mapping.Conclusion: Through a structured consensus process, the Utstein Template for Uniform Reporting of Data following Major Trauma has been revised. This revision will enhance national and international comparisons of trauma systems, and will form the basis for improved prediction models in trauma care.