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Quality indicators for patients with traumatic brain injury in European intensive care units: A CENTER-TBI study
- Source :
- Critical care, London : BioMed Central, 2020, vol. 24, iss. 1, art. no. 78, p. 1-12, Critical Care, 24. BioMed Central Ltd., Critical Care, Vol 24, Iss 1, Pp 1-12 (2020), Critical Care, Critical Care, 24(1). BMC, Critical care, Huijben, J A, Wiegers, E J A, Ercole, A, De Keizer, N F, Maas, A I R, Steyerberg, E W, Citerio, G, Wilson, L, Polinder, S, Nieboer, D, Menon, D, Lingsma, H F, Van Der Jagt, M, Åkerlund, C, Amrein, K, Andelic, N, Andreassen, L, Audibert, G, Azouvi, P, Azzolini, M L, Bartels, R, Beer, R, Bellander, B-M, Benali, H, Berardino, M, Beretta, L, Beqiri, E, Blaabjerg, M, Lund, S B, Brorsson, C, Buki, A, Cabeleira, M, Caccioppola, A, Calappi, E, Calvi, M R, Coburn, M, Cooper, J D, Dark, P, Dixit, A, Johnson, F, Lecky, F, McMahon, C, Murray, L, Raj, R, Rhodes, J, Rosenfeld, J V, Rossi, S, Stamatakis, E, Thomas, M & Williams, G 2020, ' Quality indicators for patients with traumatic brain injury in European intensive care units: A CENTER-TBI study ', Critical Care . https://doi.org/10.1186/s13054-020-2791-0, Huijben, J A, Wiegers, E J A, Ercole, A, De Keizer, N F, Maas, A I R, Steyerberg, E W, Citerio, G, Wilson, L, Polinder, S, Nieboer, D, Menon, D, Lingsma, H F, Van Der Jagt, M, Åkerlund, C, Amrein, K, Andelic, N, Andreassen, L, Audibert, G, Azouvi, P, Azzolini, M L, Bartels, R, Beer, R, Bellander, B M, Benali, H, Berardino, M, Beretta, L, Beqiri, E, Blaabjerg, M, Lund, S B, Brorsson, C, Buki, A, Cabeleira, M, Caccioppola, A, Calappi, E, Calvi, M R, Cameron, P, Lozano, G C, Carbonara, M, Castaño-León, A M, Cavallo, S, Chevallard, G, Chieregato, A, Coburn, M, Coles, J, Cooper, J D, Correia, M, Czeiter, E, Czosnyka, M, Dahyot-Fizelier, C, Kondziella, D & thCENTER-TBI investigators and participants for the ICU stratum 2020, ' Quality indicators for patients with traumatic brain injury in European intensive care units : A CENTER-TBI study ', Critical Care, vol. 24, no. 1, 78 . https://doi.org/10.1186/s13054-020-2791-0, Critical care (London, England), 24(1):78. Springer Science + Business Media
- Publication Year :
- 2020
- Publisher :
- BioMed Central Ltd., 2020.
-
Abstract
- Background The aim of this study is to validate a previously published consensus-based quality indicator set for the management of patients with traumatic brain injury (TBI) at intensive care units (ICUs) in Europe and to study its potential for quality measurement and improvement. Methods Our analysis was based on 2006 adult patients admitted to 54 ICUs between 2014 and 2018, enrolled in the CENTER-TBI study. Indicator scores were calculated as percentage adherence for structure and process indicators and as event rates or median scores for outcome indicators. Feasibility was quantified by the completeness of the variables. Discriminability was determined by the between-centre variation, estimated with a random effect regression model adjusted for case-mix severity and quantified by the median odds ratio (MOR). Statistical uncertainty of outcome indicators was determined by the median number of events per centre, using a cut-off of 10. Results A total of 26/42 indicators could be calculated from the CENTER-TBI database. Most quality indicators proved feasible to obtain with more than 70% completeness. Sub-optimal adherence was found for most quality indicators, ranging from 26 to 93% and 20 to 99% for structure and process indicators. Significant (p Conclusions Overall, nine structures, five processes, but none of the outcome indicators showed potential for quality improvement purposes for TBI patients in the ICU. Future research should focus on implementation efforts and continuous reevaluation of quality indicators. Trial registration The core study was registered with ClinicalTrials.gov, number NCT02210221, registered on August 06, 2014, with Resource Identification Portal (RRID: SCR_015582).
- Subjects :
- Adult
Male
benchmarking
intensive care units
quality indicators
quality of health care
traumatic brain injuries
medicine.medical_specialty
Quality management
Traumatic brain injury
Quality indicator
Quality indicators
Critical Care and Intensive Care Medicine
Traumatic brain injuries
03 medical and health sciences
0302 clinical medicine
Intensive care
Brain Injuries, Traumatic
medicine
Humans
Intensive care unit
030212 general & internal medicine
Quality Indicators, Health Care
Intensive care units
business.industry
Data Collection
Research
lcsh:Medical emergencies. Critical care. Intensive care. First aid
Quality measurement
Regression analysis
lcsh:RC86-88.9
Odds ratio
Middle Aged
medicine.disease
Random effects model
Quality Improvement
Europe
Benchmarking
Emergency medicine
Quality of health care
Female
Human medicine
business
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 13648535 and 1466609X
- Database :
- OpenAIRE
- Journal :
- Critical care, London : BioMed Central, 2020, vol. 24, iss. 1, art. no. 78, p. 1-12, Critical Care, 24. BioMed Central Ltd., Critical Care, Vol 24, Iss 1, Pp 1-12 (2020), Critical Care, Critical Care, 24(1). BMC, Critical care, Huijben, J A, Wiegers, E J A, Ercole, A, De Keizer, N F, Maas, A I R, Steyerberg, E W, Citerio, G, Wilson, L, Polinder, S, Nieboer, D, Menon, D, Lingsma, H F, Van Der Jagt, M, Åkerlund, C, Amrein, K, Andelic, N, Andreassen, L, Audibert, G, Azouvi, P, Azzolini, M L, Bartels, R, Beer, R, Bellander, B-M, Benali, H, Berardino, M, Beretta, L, Beqiri, E, Blaabjerg, M, Lund, S B, Brorsson, C, Buki, A, Cabeleira, M, Caccioppola, A, Calappi, E, Calvi, M R, Coburn, M, Cooper, J D, Dark, P, Dixit, A, Johnson, F, Lecky, F, McMahon, C, Murray, L, Raj, R, Rhodes, J, Rosenfeld, J V, Rossi, S, Stamatakis, E, Thomas, M & Williams, G 2020, ' Quality indicators for patients with traumatic brain injury in European intensive care units: A CENTER-TBI study ', Critical Care . https://doi.org/10.1186/s13054-020-2791-0, Huijben, J A, Wiegers, E J A, Ercole, A, De Keizer, N F, Maas, A I R, Steyerberg, E W, Citerio, G, Wilson, L, Polinder, S, Nieboer, D, Menon, D, Lingsma, H F, Van Der Jagt, M, Åkerlund, C, Amrein, K, Andelic, N, Andreassen, L, Audibert, G, Azouvi, P, Azzolini, M L, Bartels, R, Beer, R, Bellander, B M, Benali, H, Berardino, M, Beretta, L, Beqiri, E, Blaabjerg, M, Lund, S B, Brorsson, C, Buki, A, Cabeleira, M, Caccioppola, A, Calappi, E, Calvi, M R, Cameron, P, Lozano, G C, Carbonara, M, Castaño-León, A M, Cavallo, S, Chevallard, G, Chieregato, A, Coburn, M, Coles, J, Cooper, J D, Correia, M, Czeiter, E, Czosnyka, M, Dahyot-Fizelier, C, Kondziella, D & thCENTER-TBI investigators and participants for the ICU stratum 2020, ' Quality indicators for patients with traumatic brain injury in European intensive care units : A CENTER-TBI study ', Critical Care, vol. 24, no. 1, 78 . https://doi.org/10.1186/s13054-020-2791-0, Critical care (London, England), 24(1):78. Springer Science + Business Media
- Accession number :
- edsair.doi.dedup.....74c23b4b513c07f73cc2a6c151002f41