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Mathieu Gagné, Lynne Moore, Marie-Josée Sirois, Marc Simard, Claudia Beaudoin, Brice Lionel Batomen Kuimi
BACKGROUND: The International Classification of Diseases (ICD) is the main classification system used for population-based traumatic brain injury (TBI) surveillance activities but does not contain direct information on injury severity. ICD-based injury severity measures can be empirically derived or mapped to the Abbreviated Injury Scale, but no single approach has been formally recommended for TBI. OBJECTIVE: To compare the accuracy of different ICD-based injury severity measures for predicting in-hospital mortality and intensive care unit (ICU) admission in TBI patients...
November 30, 2016: Journal of Trauma and Acute Care Surgery
Casey J Allen, Amy E Wagenaar, Davis B Horkan, Daniel J Baldor, William M Hannay, Jun Tashiro, Nicholas Namias, Juan E Sola
OBJECTIVES: Injury severity scoring tools allow systematic comparison of outcomes in trauma research and quality improvement by indexing an expected mortality risk for certain injuries. This study investigated the predictive value of the empirically derived ICD9-derived Injury Severity Score (ICISS) compared to expert consensus-derived scoring systems for trauma mortality in a pediatric population. METHODS: 1935 consecutive trauma patients aged <18 years from 1/2000 to 12/2012 were reviewed...
July 2016: Pediatric Surgery International
Mathieu Gagné, Lynne Moore, Claudia Beaudoin, Brice Lionel Batomen Kuimi, Marie-Josée Sirois
BACKGROUND: The International Classification of Diseases (ICD) is the main classification system used for population-based injury surveillance activities but does not contain information on injury severity. ICD-based injury severity measures can be empirically derived or mapped, but no single approach has been formally recommended. This study aimed to compare the performance of ICD-based injury severity measures to predict in-hospital mortality among injury-related admissions. METHODS: A systematic review and a meta-analysis were conducted...
March 2016: Journal of Trauma and Acute Care Surgery
Zachary Medress, Robert T Arrigo, Melanie Hayden Gephart, Corinna C Zygourakis, Maxwell Boakye
INTRODUCTION: Prior studies have indicated that early decompression of traumatic cervical fractures can be performed safely and is associated with improved outcomes, though the economic impact of the timing of surgery in the American population has not been studied. After adjusting for patient, hospital, and injury confounders, we performed propensity score modeling (PSM) on a large clinical administrative database to determine associated costs depending upon timing of surgery for acute cervical fracture...
January 2015: Curēus
Dennis W Ashley, Etienne E Pracht, Regina S Medeiros, Elizabeth V Atkins, Elizabeth G NeSmith, Tracy J Johns, Jeffrey M Nicholas
BACKGROUND: States struggle to continue support for recruitment, funding and development of designated trauma centers (DTCs). The purpose of this study was to evaluate the probability of survival for injured patients treated at DTCs versus nontrauma centers. METHODS: We reviewed 188,348 patients from the state's hospital discharge database and identified 13,953 severely injured patients admitted to either a DTC or a nontrauma center between 2008 and 2012. DRG International Classification of Diseases-9th Rev...
April 2015: Journal of Trauma and Acute Care Surgery
Brice L Batomen Kuimi, Lynne Moore, Brahim Cissé, Mathieu Gagné, André Lavoie, Gilles Bourgeois, Jean Lapointe
BACKGROUND: Few data are available on population-based access to specialised trauma care and its influence on patient outcomes in an integrated trauma system. We aimed to evaluate the influence of access to an integrate trauma system on in-hospital mortality and length of stay (LOS). METHODS: All adults admitted to acute care hospitals for major trauma [International Classification of Diseases Injury Severity Score (ICISS<0.85)] in a Canadian province with an integrated trauma system between 2006 and 2011 were included using an administrative hospital discharge database...
July 2015: Injury
Brice L Batomen Kuimi, Lynne Moore, Brahim Cissé, Mathieu Gagné, André Lavoie, Gilles Bourgeois, Jean Lapointe, Sonia Jean
BACKGROUND: Access to specialised trauma care is an important measure of trauma system efficiency. However, few data are available on access to integrated trauma systems. We aimed to describe access to trauma centres (TCs) in an integrated Canadian trauma system and identify its determinants. METHODS: We conducted a population-based cohort study including all injured adults admitted to acute care hospitals in the province of Québec between 2006 and 2011. Proportions of injured patients transported directly or transferred to TCs were assessed...
April 2015: Injury
Anne-Marie Meyer, Andrew F Olshan, Laura Green, Adrian Meyer, Stephanie B Wheeler, Ethan Basch, William R Carpenter
The Integrated Cancer Information and Surveillance System (ICISS) facilitates population-based cancer research by developing extensive information technology systems that can link and manage large data sets. Taking an interdisciplinary 'team science' approach, ICISS has developed data, systems, and methods that allow researchers to better leverage the power of big data to improve population health.
July 2014: North Carolina Medical Journal
Stephanie B Wheeler, Tzy-Mey Kuo, Danielle Durham, Brian Frizzelle, Katherine Reeder-Hayes, Anne-Marie Meyer
BACKGROUND: Distance to oncology service providers and rurality may affect receipt of guideline-recommended radiation therapy (RT), but the extent to which these factors affect the care of Medicare-insured patients is unknown. METHODS: Using cancer registry data linked to Medicare claims from the Integrated Cancer Information and Surveillance System (ICISS), we identified all women aged 65 years or older who were diagnosed with stage I, II, or III breast cancer from 2003 through 2005, who had Medicare claims through 2006, and who were clinically eligible for RT...
July 2014: North Carolina Medical Journal
Alan H Daniels, Melanie Arthur, Sean M Esmende, Hari Vigneswaran, Mark A Palumbo
STUDY DESIGN: Retrospective database analysis. OBJECTIVE: To examine the incidence of hospitalization, treatment, and cost of caring for patients with axis (C2) fractures. SUMMARY OF BACKGROUND DATA: The incidence of C2 fractures in the elderly seems to be increasing, however, a comprehensive analysis of the incidence, treatment, and cost of treating C2 fractures has not been previously reported. METHODS: The Nationwide Inpatient Sample from 2000 to 2010 was used to identify patients with C2 fracture without neurological injury (International Classification of Disease, Ninth Revision, Clinical Modification code 805...
August 15, 2014: Spine
Katherine E Reeder-Hayes, Anne Marie Meyer, Stacie B Dusetzina, Huan Liu, Stephanie B Wheeler
Endocrine therapy (ET) is the cornerstone of adjuvant therapy for hormone-receptor positive (HR+) breast cancer. The survival gap between African-American (AA) and white women with breast cancer is most pronounced in HR+ subtypes, and could be related to differences in ET use. The relationship between race and initiation of ET is not well defined. We investigated patterns of ET initiation by race in a diverse cohort of women covered by commercial health insurance. We identified 2,640 women with incident HR+ breast cancer in the North Carolina Central Cancer Registry whose records linked to commercial insurance claims using the Integrated Cancer Information and Surveillance System (ICISS) database...
June 2014: Breast Cancer Research and Treatment
Martin Gerdin, Nobhojit Roy, Satish Dharap, Vineet Kumar, Monty Khajanchi, Göran Tomson, Li Felländer Tsai, Max Petzold, Johan von Schreeb
BACKGROUND: Traumatic injury causes more than five million deaths each year of which about 90% occur in low- and middle-income countries (LMIC). Hospital trauma mortality has been significantly reduced in high-income countries, but to what extent similar results have been achieved in LMIC has not been studied in detail. Here, we assessed if early hospital mortality in patients with trauma has changed over time in an urban lower middle-income setting. METHODS: We conducted a retrospective study of patients admitted due to trauma in 1998, 2002, and 2011 to a large public hospital in Mumbai, India...
2014: PloS One
Colin Cryer, Ari Samaranayaka, John D Langley, Gabrielle Davie
BACKGROUND: Workers' compensation (WC) data traditionally provides information to stakeholders on work-related disabling injuries. It is important to complement this with information on serious threat to life (TTL) injury, which is the focus of this paper. METHODS: In this cross-sectional descriptive epidemiological study, based on New Zealand's WC data linked to hospital discharge data, TTL was measured using the ICD10-based Injury Severity Score (ICISS); ICISS ≤ 0...
April 2014: American Journal of Industrial Medicine
Rolf Gedeborg, Margaret Warner, Li-Hui Chen, Pauline Gulliver, Colin Cryer, Yvonne Robitaille, Robert Bauer, Clotilde Ubeda, Jens Lauritsen, James Harrison, Geoff Henley, John Langley
BACKGROUND: The International Statistical Classification of Diseases, 10th Revision (ICD-10)-based Injury Severity Score (ICISS) performs well but requires diagnosis-specific survival probabilities (DSPs), which are empirically derived, for its calculation. The objective was to examine if DSPs based on data pooled from several countries could increase accuracy, precision, utility, and international comparability of DSPs and ICISS. METHODS: Australia, Argentina, Austria, Canada, Denmark, New Zealand, and Sweden provided ICD-10-coded injury hospital discharge data, including in-hospital mortality status...
February 2014: Journal of Trauma and Acute Care Surgery
Alan Cook, Jo Weddle, Susan Baker, David Hosmer, Laurent Glance, Lee Friedman, Turner Osler
BACKGROUND: Performance benchmarking requires accurate measurement of injury severity. Despite its shortcomings, the Injury Severity Score (ISS) remains the industry standard 40 years after its creation. A new severity measure, the Trauma Mortality Prediction Model (TMPM), uses either the Abbreviated Injury Scale (AIS) or DRG International Classification of Diseases-9th Rev. (ICD-9) lexicons and may better quantify injury severity compared with ISS. We compared the performance of TMPM with ISS and other measures of injury severity in a single cohort of patients...
January 2014: Journal of Trauma and Acute Care Surgery
Asghar Ehteshami, Farahnaz Sadoughi, Maryam Ahmadi, Parviz Kashefi
INTRODUCTION: Today, intensive care needs to be increased with a prospect of an aging population and socioeconomic factors influencing health intervention, but there are some problems in the intensive care environments, it is essential to resolve. The intensive Care information system has the potential to solve many of ICU problems. The objective of the review was to establish the impact of intensive care information systems on the practitioners practice, patient outcomes and ICU performance...
2013: Acta Informatica Medica: AIM
Angela J Clapperton, Emily L Herde, Tony Lower
OBJECTIVE: To enumerate and describe fatal and hospital-treated injury associated with quad bike use in Victoria. DESIGN: Retrospective descriptive analysis of coronial records and hospital-treated injury data (2002-03 to 2010-11). MAIN OUTCOME MEASURES: Number of quad bike-related fatalities, hospital admissions, emergency department (ED) presentations, and results of a trend and severity analysis (International Classification of Disease-based Injury Severity Score; ICISS)...
September 16, 2013: Medical Journal of Australia
Choong Yi Fong, John P Osborne, Stuart W Edwards, Cheryl Hemingway, Eleanor Hancock, Anthony L Johnson, Colin R Kennedy, Rachel Kneen, Marcus Likeman, Andrew L Lux, Santosh R Mordekar, Velayutham Murugan, Richard W Newton, Michael Pike, Michael Quinn, Stefan Spinty, Grace Vassallo, Christopher M Verity, Andrea Whitney, Finbar J K O'Callaghan
AIM: We aimed to investigate the relationship between movement disorders, changes on brain magnetic resonance imaging (MRI), and vigabatrin therapy in children with infantile spasms. METHOD: Retrospective review and brain MRI analysis of children enrolled in the International Collaborative Infantile Spasms Study (ICISS) who developed a movement disorder on vigabatrin therapy. Comparisons were made with controls within ICISS who had no movement disorder. RESULTS: Ten of 124 infants had a movement disorder and in eight it had developed on vigabatrin therapy...
September 2013: Developmental Medicine and Child Neurology
David J Ciesla, Joseph J Tepas, Etienne E Pracht, Barbara Langland-Orban, John Y Cha, Lewis M Flint
BACKGROUND: Trauma systems are designed to deliver timely and appropriate care. Prehospital triage regulations and interfacility transfer guidelines are the primary determinants of system efficacy. We analyzed the effectiveness of the Florida trauma system in delivering trauma patients to trauma centers over time. STUDY DESIGN: Injured patients were identified by ICD-9 codes from a statewide discharge dataset, and they were categorized as children (less than 16 years old), adult (16 to 65 years old), or elderly (over 65 years old)...
April 2013: Journal of the American College of Surgeons
Joseph J Tepas, Etienne E Pracht, Barbara L Orban, Lewis M Flint
BACKGROUND: Survival and discharge status from severe traumatic brain injury (TBI) patients treated during the past 11 years in seven state-designated Level I trauma centers was analyzed to test for a relationship between patient volume and outcome. METHODS: Data for patients age 16 years to 64 years were aggregated by quarter for years 2000 to 2010. TBI patients were identified using DRG International Classification of Diseases--9th Rev.--Clinical Modification codes: 800 to 804 and 850...
January 2013: Journal of Trauma and Acute Care Surgery
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