title: Helsinki Trauma Outcome Study 2005: Audit on Outcome in Trauma Management in Adult Patients in Southern Part of Finland.
abstract: The outcome performance of the adult patients trauma care in Helsinki University Hospital was compared with a sample of English hospitals. This was a first time such an audit on trauma care was conducted in Finland. Helsinki University Hospital submitted the Trauma Audit and Research Network (TARN, UK) data of adult trauma patients during 1 year period (from 1 September 2004 to 31 August 2005). Patients younger than 16 years were excluded. The outcome performance was assessed by TARN prediction model using the TARN database as reference. There were total of 1,717 patients in Helsinki and 16,774 patients in English hospitals fulfilling the study inclusion criteria, and 1,635 (95.2% of total) eligible patients in Helsinki and 15,269 (91.0% of total) in England were used for analysis. The patients were older and the mean ISS was higher in Helsinki (mean ISS in Helsinki 14 vs. 11 in England). The standardized W statistic (a measure of survival variation from the expected mean, per 100 patients) was + 3.0 (confidence intervals + 2.3 to + 3.8) for Helsinki University Hospital and + 0.2 (confidence intervals -0.1 to 0.4) for English hospitals. These results suggest that the organization of trauma care in Helsinki University Hospital area is more effective in preventing death after trauma in adults than that covering the present sample of English hospitals.
authors.affiliation: Department of Orthopedics and Traumatalogy, University Central Hospital, Helsinki, Finland. lauri.handolin@hus.fi.|Department of Orthopedics and Traumatology, Helsinki University Hospital, Töölö Hospital, Topeliuksenkatu 5, 00260, Helsinki, Finland. lauri.handolin@hus.fi.
authors.forename: Lauri
authors.initials: L
authors.lastname: Handolin
authors.affiliation: Department of Surgery, Meilahti Hospital, University of Helsinki, Helsinki, Finland.
authors.forename: Ari
authors.initials: A
authors.lastname: Leppäniemi
authors.affiliation: Trauma Audit and Research Network, University of Manchester, Manchester, United Kingdom.
authors.forename: Fiona
authors.initials: F
authors.lastname: Lecky
authors.affiliation: Trauma Audit and Research Network, University of Manchester, Manchester, United Kingdom.
authors.forename: Omar
authors.initials: O
authors.lastname: Bouamra
authors.affiliation: Department of Surgery, Meilahti Hospital, University of Helsinki, Helsinki, Finland.
authors.forename: Piia
authors.initials: P
authors.lastname: Hienonen
authors.affiliation: Department of Orthopedics and Traumatalogy, University Central Hospital, Helsinki, Finland.
authors.forename: Satu
authors.initials: S
authors.lastname: Tirkkonen
authors.affiliation: Department of Orthopedics and Traumatalogy, University Central Hospital, Helsinki, Finland.
authors.forename: Karin
authors.initials: K
authors.lastname: Pihlström
authors.affiliation: Trauma Audit and Research Network, University of Manchester, Manchester, United Kingdom.
authors.forename: David
authors.initials: D
authors.lastname: Yates
authors.affiliation: Department of Orthopedics and Traumatalogy, University Central Hospital, Helsinki, Finland.
authors.forename: Eero
authors.initials: E
authors.lastname: Hirvensalo
keywords: Finland; Outcome; TARN; Trauma system
references.citation: J Trauma. 2006 Sep;61(3):701-10
references.pmid: 16967011
references.citation: J Trauma. 1999 Sep;47(3 Suppl):S34-41
references.pmid: 10496608
references.citation: Arch Surg. 2004 Nov;139(11):1231-6
references.pmid: 15545571
references.citation: J Trauma. 1990 Nov;30(11):1356-65
references.pmid: 2231804
references.citation: J Trauma. 1999 May;46(5):811-5; discussion 815-6
references.pmid: 10338397
references.citation: J Trauma. 1974 Mar;14(3):187-96
references.pmid: 4814394
references.citation: Scand J Surg. 2004;93(3):198-203
references.pmid: 15544074
references.citation: J Trauma. 2006 Mar;60(3):538-47
references.pmid: 16531851
references.citation: J Trauma. 1995 May;38(5):763-6
references.pmid: 7760406
references.citation: Injury. 2003 Sep;34(9):652-7
references.pmid: 12951288
references.citation: Lancet. 2000 May 20;355(9217):1771-5
references.pmid: 10832827
references.citation: N Engl J Med. 2006 Jan 26;354(4):366-78
references.pmid: 16436768
references.citation: Injury. 2006 Jul;37(7):622-5
references.pmid: 16769310
references.citation: Lancet. 2005 Oct 29-Nov 4;366(9496):1538-44
references.pmid: 16257340