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Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Published in: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 1/2008

Open Access 01-12-2008 | Original research

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

Authors: Kjetil G Ringdal, Timothy J Coats, Rolf Lefering, Stefano Di Bartolomeo, Petter Andreas Steen, Olav Røise, Lauri Handolin, Hans Morten Lossius, Utstein TCD expert panel

Published in: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine | Issue 1/2008

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Abstract

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.
Appendix
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Literature
1.
Dick WF, Baskett PJ: Recommendations for uniform reporting of data following major trauma – the Utstein style. A report of a working party of the International Trauma Anaesthesia and Critical Care Society (ITACCS). Resuscitation. 1999, 42: 81-100. 10.1016/S0300-9572(99)00102-1.CrossRefPubMed
2.
Di Bartolomeo S, Sanson G, Michelutto V, Nardi G, Burba I, Francescutti A, Lattuadad L, Scian F: Epidemiology of major injury in the population of Friuli Venezia Giulia-Italy. Injury. 2004, 35: 391-400. 10.1016/S0020-1383(03)00246-8.CrossRefPubMed
3.
Lossius HM, Langhelle A, Søreide E, Pillgram-Larsen J, Lossius TA, Laake P, Steen PA: Reporting data following major trauma and analysing factors associated with outcome using the new Utstein style recommendations. Resuscitation. 2001, 50: 263-272. 10.1016/S0300-9572(01)00361-6.CrossRefPubMed
4.
Mann NC, Guice K, Cassidy L, Wright D, Koury J: Are statewide trauma registries comparable? Reaching for a national trauma dataset. Acad Emerg Med. 2006, 13: 946-953.CrossRefPubMed
5.
The EuroTARN Writing Committee on behalf of the EuroTARN Group: A comparison of European Trauma Registries The first report from the EuroTARN Group. Resuscitation. 2007, 75: 286-297. 10.1016/j.resuscitation.2007.06.023.CrossRef
6.
Skaga NO, Eken T, Sovik S, Jones JM, Steen PA: Pre-injury ASA physical status classification is an independent predictor of mortality after trauma. J Trauma. 2007, 63: 972-978.CrossRefPubMed
7.
Champion HR, Sacco WJ, Hunt TK: Trauma severity scoring to predict mortality. World J Surg. 1983, 7: 4-11. 10.1007/BF01655906.CrossRefPubMed
8.
Boyd CR, Tolson MA, Copes WS: Evaluating trauma care: the TRISS method. Trauma Score and the Injury Severity Score. J Trauma. 1987, 27: 370-378.CrossRefPubMed
9.
Champion HR, Copes WS, Sacco WJ, Lawnick MM, Keast SL, Bain LW, Flanagan ME, Frey CF: The Major Trauma Outcome Study: Establishing national norms for trauma care. J Trauma. 1990, 30: 1356-1365.CrossRefPubMed
10.
11.
12.
Champion HR, Copes WS, Sacco WJ, Frey CF, Holcroft JW, Hoyt DB, Weigelt JA: Improved predictions from a severity characterization of trauma (ASCOT) over Trauma and Injury Severity Score (TRISS): results of an independent evaluation. J Trauma. 1996, 40: 42-48. discussion 48–49CrossRefPubMed
13.
Demetriades D, Chan L, Velmanos GV, Sava J, Preston C, Gruzinski G, Berne TV: TRISS methodology: an inappropriate tool for comparing outcomes between trauma centers. J Am Coll Surg. 2001, 193: 250-254. 10.1016/S1072-7515(01)00993-0.CrossRefPubMed
14.
Norris R, Woods R, Harbrecht B, Fabian T, Rhodes M, Morris J, Billiar TR, Courcoulas AP, Udekwu AO, Stinson C, Peitzman AB: TRISS unexpected survivors: an outdated standard?. J Trauma. 2002, 52: 229-234.CrossRefPubMed
15.
Osler TM, Cohen M, Rogers FB, Camp L, Rutledge R, Shackford SR: Trauma registry injury coding is superfluous: a comparison of outcome prediction based on trauma registry International Classification of Diseases-Ninth Revision (ICD-9) and hospital information system ICD-9 codes. J Trauma. 1997, 43: 253-256. discussion 256–257CrossRefPubMed
16.
Rutledge R, Osler T, Emery S, Kromhout-Schiro S: The end of the Injury Severity Score (ISS) and the Trauma and Injury Severity Score (TRISS): ICISS, an International Classification of Diseases, ninth revision-based prediction tool, outperforms both ISS and TRISS as predictors of trauma patient survival, hospital charges, and hospital length of stay. J Trauma. 1998, 44: 41-49.CrossRefPubMed
17.
Demetriades D, Chan LS, Velmahos G, Berne TV, Cornwell EE, Belzberg H, Asensio JA, Murray J, Berne J, Shoemaker W: TRISS methodology in trauma: the need for alternatives. Br J Surg. 1998, 85: 379-384. 10.1046/j.1365-2168.1998.00610.x.CrossRefPubMed
18.
Skaga NO, Eken T, Steen PA: Assessing quality of care in a trauma referral center: benchmarking performance by TRISS-based statistics or by analysis of stratified ISS data?. J Trauma. 2006, 60: 538-547.CrossRefPubMed
19.
Jones JM, Redmond AD, Templeton J: Uses and abuses of statistical models for evaluating trauma care. J Trauma. 1995, 38: 89-93.CrossRefPubMed
20.
Younge PA, Coats TJ, Gurney D, Kirk CJ: Interpretation of the Ws statistic: application to an integrated trauma system. J Trauma. 1997, 43: 511-515.CrossRefPubMed
21.
Hollis S, Yates DW, Woodford M, Foster P: Standardized comparison of performance indicators in trauma: a new approach to case-mix variation. J Trauma. 1995, 38: 763-766.CrossRefPubMed
22.
Champion HR, Sacco WJ, Copes WS, Gann DS, Gennarelli TA, Flanagan ME: A Revision of the Trauma Score. J Trauma. 1989, 29: 623-629.CrossRefPubMed
23.
Teasdale G, Jennett B: Assessment of coma and impaired consciousness. A practical scale. Lancet. 1974, 2: 81-84. 10.1016/S0140-6736(74)91639-0.CrossRefPubMed
24.
25.
26.
27.
28.
Ringdal KG, Lossius HM, SCANTEM ad hoc group on Scandinavian MTOS and Trauma Registry: Feasibility of comparing core data from existing trauma registries in Scandinavia. Reaching for a Scandinavian major trauma outcome study (MTOS). Scand J Surg. 2007, 96: 325-331.PubMed
29.
Jurkovich GJ, Mock C: Systematic review of trauma system effectiveness based on registry comparisons. J Trauma. 1999, 47: S46-55.CrossRefPubMed
30.
Owen JL, Bolenbaucher RM, Moore ML: Trauma Registry Databases: A Comparison of Data Abstraction, Interpretation, and Entry at Two Level I Trauma Centers. J Trauma. 1999, 46: 1100-1104.CrossRefPubMed
31.
Pollock DA, McClain PW: Trauma registries. Current status and future prospects. JAMA. 1989, 262: 2280-2283. 10.1001/jama.262.16.2280.CrossRefPubMed
32.
33.
Nolan J, Soar J: Images in Resuscitation: Utstein Abbey. Resuscitation. 2005, 64: 5-6. 10.1016/S0300-9572(04)00468-X.CrossRef
34.
35.
Delbecq A, Ven Van de A: A group process model for problem identification and program planning. J Appl Behav Sci. 1971, 7: 467-492. 10.1177/002188637100700404.CrossRef
36.
37.
Holder Y, Peden M, Krug E, Lund J, Gururaj G, Kobusingye O: Injury Surveillance Guidelines. Book Injury Surveillance Guidelines (Editor ed.^eds.). 2001, City: World Health Organization
38.
39.
Association for the Advancement of Automotive Medicine: The Abbreviated Injury Scale 2005. 2005, Barrington, IL: Association for the Advancement of Automotive Medicine
40.
Rixen D, Raum M, Bouillon B, Lefering R, Neugebauer E: Base deficit development and its prognostic significance in posttrauma critical illness: an analysis by the trauma registry of the Deutsche Gesellschaft für Unfallchirurgie. Shock. 2001, 15: 83-89.CrossRefPubMed
41.
Bouamra O, Wrotchford A, Hollis S, Vail A, Woodford M, Lecky F: A new approach to outcome prediction in trauma: A comparison with the TRISS model. J Trauma. 2006, 61: 701-710.CrossRefPubMed
42.
Ruchholtz S, Lefering R, Paffrath T, Oestern HJ, Neugebauer E, Nast-Kolb D, Pape HC, Bouillon B: Reduction in Mortality of Severely Injured Patients in Germany. Dtsch Arztebl Int. 2008, 105: 225-231.PubMedCentralPubMed
43.
Osler T, Baker SP, Long W: A modification of the injury severity score that both improves accuracy and simplifies scoring. J Trauma. 1997, 43: 922-925. discussion 925–926CrossRefPubMed
44.
Baker SP, O'Neill B, Haddon W, Long WB: The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. 1974, 14: 187-196.CrossRefPubMed
45.
Brenneman FD, Boulanger BR, McLellan BA, Redelmeier DA: Measuring injury severity: time for a change?. J Trauma. 1998, 44: 580-582.CrossRefPubMed
46.
Lavoie A, Moore L, LeSage N, Liberman M, Sampalis JS: The New Injury Severity Score: a more accurate predictor of in-hospital mortality than the Injury Severity Score. J Trauma. 2004, 56: 1312-1320.CrossRefPubMed
47.
Lavoie A, Moore L, LeSage N, Liberman M, Sampalis JS: The Injury Severity Score or the New Injury Severity Score for predicting intensive care unit admission and hospital length of stay?. Injury. 2005, 36: 477-483. 10.1016/j.injury.2004.09.039.CrossRefPubMed
48.
Sacco WJ, MacKenzie EJ, Champion HR, Davis EG, Buckman RF: Comparison of alternative methods for assessing injury severity based on anatomic descriptors. J Trauma. 1999, 47: 441-446. discussion 446–447CrossRefPubMed
49.
Sullivan T, Haider A, DiRusso SM, Nealon P, Shaukat A, Slim M: Prediction of mortality in pediatric trauma patients: new injury severity score outperforms injury severity score in the severely injured. J Trauma. 2003, 55: 1083-1087. discussion 1087–1088CrossRefPubMed
50.
Tay SY, Sloan EP, Zun L, Zaret P: Comparison of the New Injury Severity Score and the Injury Severity Score. J Trauma. 2004, 56: 162-164.CrossRefPubMed
51.
Søreide K, Petrone P, Asensio JA: Emergency thoracotomy in trauma: rationale, risks, and realities. Scand J Surg. 2007, 96: 4-10.PubMed
52.
53.
Bergeron E, Rossignol M, Osler T, Clas D, Lavoie A: Improving the TRISS methodology by restructuring age categories and adding comorbidities. J Trauma. 2004, 56: 760-767.CrossRefPubMed
54.
Lefering R: Trauma score systems for quality assessment. Eur J Trauma. 2002, 28: 52-63. 10.1007/s00068-002-0170-y.CrossRef
55.
Gannon CJ, Napolitano LM, Pasquale M, Tracy JK, McCarter RJ: A statewide population-based study of gender differences in trauma: validation of a prior single-institution study. J Am Coll Surg. 2002, 195: 11-18. 10.1016/S1072-7515(02)01187-0.CrossRefPubMed
56.
Knudson MM, Lieberman J, Morris JA, Cushing BM, Stubbs HA: Mortality factors in geriatric blunt trauma patients. Arch Surg. 1994, 129: 448-453.CrossRefPubMed
57.
Morris JA, MacKenzie EJ, Damiano AM, Bass SM: Mortality in trauma patients: the interaction between host factors and severity. J Trauma. 1990, 30: 1476-1482.CrossRefPubMed
58.
Wohltmann CD, Franklin GA, Boaz PW, Luchette FA, Kearney PA, Richardson JD, Spain DA: A multicenter evaluation of whether gender dimorphism affects survival after trauma. Am J Surg. 2001, 181: 297-300. 10.1016/S0002-9610(01)00582-7.CrossRefPubMed
59.
Spahn DR, Cerny V, Coats TJ, Duranteau J, Fernandez-Mondejar E, Gordini G, Stahel PF, Hunt BJ, Komadina R, Neugebauer E: Management of bleeding following major trauma: a European guideline. Crit Care. 2007, 11: R17-10.1186/cc5686.PubMedCentralCrossRefPubMed
60.
Boyle MJ: Is mechanism of injury alone in the prehospital setting a predictor of major trauma – a review of the literature. J Trauma Manag Outcomes. 2007, 1: 4-10.1186/1752-2897-1-4.PubMedCentralCrossRefPubMed
61.
62.
63.
Morris JA, MacKenzie EJ, Edelstein SL: The effect of preexisting conditions on mortality in trauma patients. JAMA. 1990, 263: 1942-1946. 10.1001/jama.263.14.1942.CrossRefPubMed
64.
Milzman DP, Boulanger BR, Rodriguez A, Soderstrom CA, Mitchell KA, Magnant CM: Pre-existing disease in trauma patients: a predictor of fate independent of age and injury severity score. J Trauma. 1992, 32: 236-244.CrossRefPubMed
65.
66.
67.
Battistella FD, Nugent W, Owings JT, Anderson JT: Field triage of the pulseless trauma patient. Arch Surg. 1999, 134: 742-745. 10.1001/archsurg.134.7.742. discussion 745–746CrossRefPubMed
68.
Shimazu S, Shatney CH: Outcomes of trauma patients with no vital signs on hospital admission. J Trauma. 1983, 23: 213-216.CrossRefPubMed
69.
Rosemurgy AS, Norris PA, Olson SM, Hurst JM, Albrink MH: Prehospital traumatic cardiac arrest: the cost of futility. J Trauma. 1993, 35: 468-473. discussion 473–464CrossRefPubMed
70.
Di Bartolomeo S, Sanson G, Nardi G, Michelutto V, Scian F: HEMS vs. Ground-BLS care in traumatic cardiac arrest. Prehosp Emerg Care. 2005, 9: 79-84. 10.1080/10903120590891886.CrossRefPubMed
71.
Arbabi S, Jurkovich GJ, Wahl WL, Franklin GA, Hemmila MR, Taheri PA, Maier RV: A comparison of prehospital and hospital data in trauma patients. J Trauma. 2004, 56: 1029-1032.CrossRefPubMed
72.
Davis DP, Serrano JA, Vilke GM, Sise MJ, Kennedy F, Eastman AB, Velky T, Hoyt DB: The predictive value of field versus arrival Glasgow Coma Scale score and TRISS calculations in moderate-to-severe traumatic brain injury. J Trauma. 2006, 60: 985-990.CrossRefPubMed
73.
Baxt WG, Moody P: The impact of advanced prehospital emergency care on the mortality of severely brain-injured patients. J Trauma. 1987, 27: 365-369.CrossRefPubMed
74.
Servadei F, Nasi MT, Cremonini AM, Giuliani G, Cenni P, Nanni A: Importance of a reliable admission Glasgow Coma Scale score for determining the need for evacuation of posttraumatic subdural hematomas: a prospective study of 65 patients. J Trauma. 1998, 44: 868-873.CrossRefPubMed
75.
Healey C, Osler TM, Rogers FB, Healey MA, Glance LG, Kilgo PD, Shackford SR, Meredith JW: Improving the Glasgow Coma Scale score: motor score alone is a better predictor. J Trauma. 2003, 54: 671-678. discussion 678–680CrossRefPubMed
76.
Chan L, Bartfield JM, Reilly KM: The significance of out-of-hospital hypotension in blunt trauma patients. Acad Emerg Med. 1997, 4: 785-788. 10.1111/j.1553-2712.1997.tb03785.x.CrossRefPubMed
77.
Lipsky AM, Gausche-Hill M, Henneman PL, Loffredo AJ, Eckhardt PB, Cryer HG, de Virgilio C, Klein SL, Bongard FS, Lewis RJ: Prehospital hypotension is a predictor of the need for an emergent, therapeutic operation in trauma patients with normal systolic blood pressure in the emergency department. J Trauma. 2006, 61: 1228-1233.CrossRefPubMed
78.
Mackersie RC, Tiwary AD, Shackford SR, Hoyt DB: Intra-abdominal injury following blunt trauma. Identifying the high-risk patient using objective risk factors. Arch Surg. 1989, 124: 809-813.CrossRefPubMed
79.
Davis JW, Mackersie RC, Holbrook TL, Hoyt DB: Base deficit as an indicator of significant abdominal injury. Ann Emerg Med. 1991, 20: 842-844. 10.1016/S0196-0644(05)81423-4.CrossRefPubMed
80.
Franklin GA, Boaz PW, Spain DA, Lukan JK, Carrillo EH, Richardson JD: Prehospital hypotension as a valid indicator of trauma team activation. J Trauma. 2000, 48: 1034-1037. discussion 1037–1039CrossRefPubMed
81.
Bouamra O, Wrotchford A, Hollis S, Vail A, Woodford M, Lecky F: Outcome prediction in trauma. Injury. 2006, 37: 1092-1097. 10.1016/j.injury.2006.07.029.CrossRefPubMed
82.
Siegel JH, Rivkind AI, Dalal S, Goodarzi S: Early physiologic predictors of injury severity and death in blunt multiple trauma. Arch Surg. 1990, 125: 498-508.CrossRefPubMed
83.
Davis JW, Kaups KL: Base deficit in the elderly: a marker of severe injury and death. J Trauma. 1998, 45: 873-877.CrossRefPubMed
84.
Oestern HJ, Trentz O, Hempelmann G, Trentz OA, Sturm J: Cardiorespiratory and metabolic patterns in multiple trauma patients. Resuscitation. 1979, 7: 169-183. 10.1016/0300-9572(79)90024-8.CrossRefPubMed
85.
Davis JW, Parks SN, Kaups KL, Gladen HE, O'Donnell-Nicol S: Admission base deficit predicts transfusion requirements and risk of complications. J Trauma. 1996, 41: 769-774.CrossRefPubMed
86.
Kroezen F, Bijlsma TS, Liem MS, Meeuwis JD, Leenen LP: Base deficit-based predictive modeling of outcome in trauma patients admitted to intensive care units in Dutch trauma centers. J Trauma. 2007, 63: 908-913.CrossRefPubMed
87.
Maegele M, Lefering R, Yucel N, Tjardes T, Rixen D, Paffrath T, Simanski C, Neugebauer E, Bouillon B: Early coagulopathy in multiple injury: an analysis from the German Trauma Registry on 8724 patients. Injury. 2007, 38: 298-304. 10.1016/j.injury.2006.10.003.CrossRefPubMed
88.
89.
Raum MR, Bouillon B, Rixen D, Lefering R, Tiling T, Neugebauer E, German Polytrauma Study Group of the German Trauma Society: The Prognostic Value of Prothrombin Time in Predicting Survival after Major Trauma: a Prospective Analysis of 1,351 Patients from the German Trauma Registry. Eur J Trauma. 2001, 27: 110-116.
90.
MacLeod JB, Lynn M, McKenney MG, Cohn SM, Murtha M: Early coagulopathy predicts mortality in trauma. J Trauma. 2003, 55: 39-44.CrossRefPubMed
91.
Jennett B, Bond M: Assessment of outcome after severe brain damage. Lancet. 1975, 1: 480-484. 10.1016/S0140-6736(75)92830-5.CrossRefPubMed
92.
Skaga NO, Eken T, Jones JM, Steen PA: Different definitions of patient outcome: Consequences for performance analysis in trauma. Injury. 2008, 39: 612-622. 10.1016/j.injury.2007.11.426.CrossRefPubMed
93.
Skaga NO, Eken T, Hestnes M, Jones JM, Steen PA: Scoring of anatomic injury after trauma: AIS 98 versus AIS 90-do the changes affect overall severity assessment?. Injury. 2006
94.
95.
Stockinger ZT, McSwain NE: Prehospital endotracheal intubation for trauma does not improve survival over bag-valve-mask ventilation. J Trauma. 2004, 56: 531-536.CrossRefPubMed
96.
Pons PT, Honigman B, Moore EE, Rosen P, Antuna B, Dernocoeur J: Prehospital advanced trauma life support for critical penetrating wounds to the thorax and abdomen. J Trauma. 1985, 25: 828-832.CrossRefPubMed
97.
Spaite DW, Criss EA, Valenzuela TD, Meislin HW: Prehospital advanced life support for major trauma: critical need for clinical trials. Ann Emerg Med. 1998, 32: 480-489. 10.1016/S0196-0644(98)70178-7.CrossRefPubMed
98.
Liberman M, Mulder D, Sampalis J: Advanced or basic life support for trauma: meta-analysis and critical review of the literature. J Trauma. 2000, 49: 584-599.CrossRefPubMed
99.
Di Bartolomeo S, Sanson G, Nardi G, Michelutto V, Scian F: HEMS vs. Ground-BLS Care in Traumatic Cardiac Arrest. Prehospital Emergency Care. 2005, 9: 79-84. 10.1080/10903120590891886.CrossRefPubMed
100.
Thomas SH, Harrison TH, Buras WR, Ahmed W, Cheema F, Wedel SK: Helicopter transport and blunt trauma mortality: a multicenter trial. J Trauma. 2002, 52: 136-145.CrossRefPubMed
101.
Pohlemann T, Gänsslen A, Bosch U, Tscherne H: The Technique of Packing for Control of Hemorrhage in Complex Pelvic Fractures. Tech Orthop. 1995, 4: 267-270.
102.
Cothren CC, Osborn PM, Moore EE, Morgan SJ, Johnson JL, Smith WR: Preperitonal pelvic packing for hemodynamically unstable pelvic fractures: a paradigm shift. J Trauma. 2007, 62: 834-839. discussion 839–842CrossRefPubMed
103.
Totterman A, Madsen JE, Skaga NO, Roise O: Extraperitoneal pelvic packing: a salvage procedure to control massive traumatic pelvic hemorrhage. J Trauma. 2007, 62: 843-852.CrossRefPubMed
104.
105.
American College of Surgeons Committee on Trauma: Resources for optimal care of the injured patient 2006. 2006, Chicago, IL: American College of Surgeons
106.
Eastman AB, Lewis FR, Champion HR, Mattox KL: Regional trauma system design: critical concepts. Am J Surg. 1987, 154: 79-87. 10.1016/0002-9610(87)90294-7.CrossRefPubMed
107.
Deane SA, Gaudry PL, Pearson I, Misra S, McNeil RJ, Read C: The hospital trauma team: a model for trauma management. J Trauma. 1990, 30: 806-812.CrossRefPubMed
108.
Lossius HM, Langhelle A, Pillgram-Larsen J, Lossius TA, Søreide E, Laake P, Steen PA: Efficiency of Activation of the Trauma Team in a Norwegian Trauma Referral Centre. European J Surg. 2000, 166: 760-764. 10.1080/110241500447371.CrossRef
109.
Cummins RO: The "chain of survival" concept: how it can save lives. Heart Dis Stroke. 1992, 1: 43-45.PubMed
110.
Rixen D, Raum M, Bouillon B, Neugebauer E: [Base excess as prognostic indicator in patients with polytrauma]. Anasthesiol Intensivmed Notfallmed Schmerzther. 2002, 37: 347-349. 10.1055/s-2002-32238.CrossRefPubMed
111.
112.
113.
114.
Hannan EL, Mendeloff J, Farrell LS, Cayten CG, Murphy JG: Multivariate models for predicting survival of patients with trauma from low falls: the impact of gender and pre-existing conditions. J Trauma. 1995, 38: 697-704.CrossRefPubMed
115.
Kennedy RL, Grant PT, Blackwell D: Low-impact falls: demands on a system of trauma management, prediction of outcome, and influence of comorbidities. J Trauma. 2001, 51: 717-724.CrossRefPubMed
Metadata
Title
The Utstein template for uniform reporting of data following major trauma: A joint revision by SCANTEM, TARN, DGU-TR and RITG
Authors
Kjetil G Ringdal
Timothy J Coats
Rolf Lefering
Stefano Di Bartolomeo
Petter Andreas Steen
Olav Røise
Lauri Handolin
Hans Morten Lossius
Utstein TCD expert panel
Publication date
01-12-2008
Publisher
BioMed Central
DOI
https://doi.org/10.1186/1757-7241-16-7

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