Project Coordinator: Melissa Hart
Investigators: Professor Peter Cameron, Dr Belinda Gabbe
Background:
VOTOR was established through a collaborative project involving Monash University (DEPM), The Alfred (Department of Trauma Surgery) and the RMH (Department of Orthopaedics). The registry is a comprehensive database of orthopaedic injuries, treatment, complications and outcomes based on admissions to the adult Major Trauma Service (MTS) hospitals in Victoria.
Aims:
The aim of the registry is to collect information about orthopaedic injuries, treatment, complications and outcomes based on admissions to the adult Major Trauma Service (MTS) hospitals in Victoria and the Geelong and Northern Hospitals.
Method:
The methodology for VOTOR data collection is well established. All patients admitted to the participating hospitals with an emergency admission (>24 hours) for an orthopaedic injury are eligible for inclusion on the registry. Patients with a pathological fracture related to metastatic disease are excluded.
Results:
During Phase 1 and 2 (2003-2006), 4445 cases were registered by VOTOR at the MTS hospitals. An additional 12720 orthopaedic trauma admissions have been registered by VOTOR across the four sites (Alfred - 5329, Geelong - 2469, Northern 1378, Royal Melbourne Hospital - 3544) and a significant proportion of these admissions in Victoria are TAC or WorkSafe patients. The substantial number of cases available for analysis enables specific investigation into various subgroups, which will provide greater insight into explaining the drivers of poorer outcomes in compensable patients.
Status:
Ongoing
Staff:
Ann Sutherland, Melissa Hart, Andrew Hannaford, Cameron Gosling
Publications:
Dowrick AS, Gabbe BJ, Williamson OD, Cameron PA. Outcome instruments for the assessment of the upper extremity following trauma: a review. Injury 2005; 36: 468-476.
Dowrick AS, Gabbe BJ, Williamson OD. Does the presence of an upper extremity injury affect outcomes following major trauma? Journal of Trauma 2005; 58: 1175-1178.
Edwards ER, Graves SE, McNeil JJ, Williamson OD,Urquhart DM, Cicuttini FM. Orthopaedic trauma: Establishment of an outcomes registry to evaluate and monitor treatment effectiveness. Injury 2006; 37: 95-96.
Urquhart DM, Edwards ER, Graves SE, Williamson OD,McNeil JJ, Kossmann T, Richardson MD, Harrison DJ, Hart MJ, Cicuttini FM. Characterisation of orthopaedic trauma admitted to Adult Level 1 Trauma Centres. Injury 2006; 37:120-127.
Dowrick AS, Gabbe BJ, Williamson OD, Cameron PA. Does the disabilities of the arm, shoulder and hand (DASH) scoring system only measure disability due to injuries to the upper limb? Journal of Bone and Joint Surgery Britain 2006;88B: 524-527.
Urquhart DM, Williamson OD, Gabbe BJ, Cicuttini FM,Cameron PA, Richardson MD, Edwards ER. Outcomes of patients with orthopaedic trauma admitted to Level One
Trauma Centres. Australian and New Zealand Journal of Surgery 2006; 76: 600-606.
Dowrick AS, Gabbe BJ, Williamson O, Wolfe R, Cameron PA. A comparison of self-reported and independently observed disability in an orthopaedic trauma population. The Journal of Trauma, Injury, Infection and Critical Care 2006; 61(6):1447-1452
Dowrick AS, Gabbe BJ, Williamson OD, Wolfe R, Cameron PA. Does the Disabilities of the Arm, Shoulder and Hand (DASH) measure disability only due to upper extremity injuries following orthopaedic trauma? Journal of Bone and Joint Surgery Britain 2006; 88(4):524-7
Urquhart DM, Williamson OD, Gabbe BJ, Cicuttini FM, Cameron PA, Richardson MD, Edwards ER. Outcomes of patients with orthopaedic trauma admitted to Adult Level One Trauma Centres. Australian and New Zealand Journal of Surgery 2006; 76:600-606
Dowrick AS. Investigating the use of patient-reported outcome assessment instruments in patients following upper extremity orthopaedic trauma. Thesis submitted in total fulfillment for the degree of Doctor of Philosophy, Monash University, September 2006.
Gabbe B, Cameron P, Graves S, Edwards E. Pre-injury status: are orthopaedic trauma patients different to the general population? Journal of Orthopaedic Trauma 2007; 21(4):223-228
Gabbe B, Cameron P, Graves S, Edwards E. Pre-injury status: are orthopaedic trauma patients different to the general population? Journal of Orthopaedic Trauma 2007; 21(4):223-228
Gabbe BJ, Cameron PA, Williamson OD, Edwards ER, Graves SE, Richardson MD,. The relationship between compensable status and long term outcomes following orthopaedic trauma, Medical Journal of Australia 2007; 187(1):14-17
Urquhart D, Hanna F, Graves S, Cameron P, Wang, Y, Cicuttini F. In-hospital Outcomes and Hospital Resource Utilisation of Hip Replacement Procedures. Australian and New Zealand Journal of Surgery 2008; 78(10):875-880
Williamson O, Epi GD, Gabbe B, Physio B, Cameron P, Edwards ER, Richardson MD;Victorian Orthopaedic Trauma Outcome Registry Project Group. Predictors of moderate or severe pain six months following orthopaedic injury: a prospective cohort study. Journal of Orthopaedic Trauma 2008; 23:139-144.
Gosling CM, Gabbe BJ, Hart MJ, Sutherland AM, Cameron PA. The reliability of patient recall of hospital readmission following orthopaedic trauma. Australian Health Review 2009 (submitted)
Urquhart DM, Hanna FS, Brennan SL, Wluka AE, Leder K, Cameron P, Graves SE, Cicuttini FM. Incidence and Risk Factors for Deep Surgical Site Infection Following Primary Total Hip Replacement: A Systematic Review. Journal of Arthroplasty 2009 Oct 29 (Epub ahead of print).
Student: N/A
Contact Person: Mimi Morgan - mimi.morgan@ monash.edu
