Evaluating the Joint Theater Trauma Registry as a Data Source to Benchmark Casualty Care

Abstract

Just as data from civilian trauma registries have been used to benchmark and evaluate civilian trauma care, data contained within the Joint Theater Trauma Registry (JTTR) present a unique opportunity to benchmark combat care. Using the iterative steps of the benchmarking process, we evaluated data in the JTTR for suitability and established benchmarks for 24-hour mortality in casualties with polytrauma and a moderate or severe blunt traumatic brain injury (TBI). Mortality at 24 hours was greatest in those with polytrauma and a severe blunt TBI. No mortality was seen in casualties with polytrauma and a moderate blunt TBI. Secondary insults after TBI, especially hypothermia and hypoxemia, increased the odds of 24-hour mortality. Data contained in the JTTR were found to be suitable for establishing benchmarks. JTTR data may be useful in establishing benchmarks for other outcomes and types of combat injuries.

Open PDF

Document Details

Document Type
Technical Report
Publication Date
May 01, 2012
Accession Number
ADA578782

Entities

People

  • Elizabeth Bridges
  • Karen M. O'connell
  • Marguerite T. Littleton-kearney
  • Sandra C. Bibb

Organizations

  • Uniformed Services University of the Health Sciences

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Best Practices
  • Brain Injuries
  • Combat Casualty Care
  • Combat Injuries
  • Craniocerebral Trauma
  • Data Analysis
  • Health Care
  • Health Services
  • Heart Rate
  • Medical Personnel
  • Military Medicine
  • Oxygenation
  • Test And Evaluation
  • Universities
  • Vital Signs

Fields of Study

  • Medicine

Readers

  • Instructional Design and Training Evaluation.
  • Trauma or Military Medicine