Researchers found several quality indicators determined by the American College of Surgeons Committee on Trauma were associated with higher in-hospital mortality and complications, accord to a study published in the Archives of Surgery.
The ACSCOT quality indicators are a set of process measures that include "no definitive airway in patient with GCS score," "absence of ambulance report on medical record," "absence of hourly documentation of vital signs" and more.
For their study, researchers analyzed outcomes for nearly 211,000 patients admitted to 35 Pennsylvania trauma centers from 2000-2009 to determine whether the ACSCOT quality indicators were associated with clinical outcomes. They found seven of the indicators were associated with higher levels of in-hospital mortality, death or major complications.
For example, gunshot wounds to the abdomen that were managed non-operatively were associated with a nearly five-fold increase in mortality.
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The ACSCOT quality indicators are a set of process measures that include "no definitive airway in patient with GCS score," "absence of ambulance report on medical record," "absence of hourly documentation of vital signs" and more.
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For their study, researchers analyzed outcomes for nearly 211,000 patients admitted to 35 Pennsylvania trauma centers from 2000-2009 to determine whether the ACSCOT quality indicators were associated with clinical outcomes. They found seven of the indicators were associated with higher levels of in-hospital mortality, death or major complications.
For example, gunshot wounds to the abdomen that were managed non-operatively were associated with a nearly five-fold increase in mortality.
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