Victorian State Trauma Outcomes Registry (VSTORM)

Victorian State Trauma Registry Database

Project Coordinator: Mimi Morgan

Investigators: Professor Peter Cameron, Dr Belinda Gabbe, Professor John McNeil

Background: The Department of Human Services commissioned the Victorian State Trauma Registry (VSTR) in collaboration with the Transport Accident Commission Health Research. The registry provides a mechanism to monitor the system to inform service provision and development with an aim to reduce preventable deaths and permanent disability from major trauma.  Changes to systems of care are monitored to ensure outcomes are improving including the reduction in deaths and disability over time.

Aims: The aim of the registry is to collect information about all patients from every hospital and health care facility managing trauma patients in Victoria.

Method: The registry collects and analyses patient information from health services managing trauma patients across the state.  In 2008-09 the registry collected information from 138 hospitals.

Results: In the 2008-09 annual report aggregate data is presented for 2,646 major trauma patients treated at 138 hospitals during 2008-09. Since complete coverage was obtained in 2005-06, there has been an increase in the number of hospitalised major trauma patients in Victoria from 2,194 in 2005-06 to 2,646 in 2008-09.  The overall annual rate of hospitalised major trauma in Victoria was 49 per 100,000 population.  This has increased substantially from 2001-02 when the annual rate was 30 per 100,000 population. Part of the observed rise can be attributed to improved case identification and complete health service participation in the registry over recent years.

Status: Ongoing

Staff: Andrew Hannaford, Susan McLellan, Mimi Morgan, Ann Sutherland

Publications:

Gabbe BJ, Cameron PA, Finch CF 2003, ‘Is the Revised Trauma Score still useful?' Australian and New Zealand Journal of Surgery, vol. 73, pp 944-48.

Gabbe BJ, Cameron PA, Finch CF 2003, ‘The status of the Glasgow Coma Scale' Emergency Medicine Australasia, vol 15, pp 353-60.

Gabbe BJ, Cameron PA, Wolfe R 2003, ‘TRISS: Does it get better than this?' Academic Emergency Medicine, vol 11, pp 181-86.

Cameron P, Finch C, Gabbe B, Collins L, Smith K, McNeil J 2004, ‘Developing Australia's first statewide trauma registry - what are the lessons?' Australian and New Zealand Journal of Surgery, vol. 74, no. 6, pp. 424-8.

Williamson O, Cameron P, McNeil J 2004, ‘Medical registry governance and patient privacy', Medical Journal of Australia, vol. 181, no. 3, pp. 125-6.

Dowrick AS, Gabbe BJ, Williamson OD, Cameron PA 2005, ‘Outcome instruments for the assessment of the upper extremity following trauma: a review', Injury, vol. 36, pp. 468-76.

Dowrick A, Gabbe B, Williamson O 2005, ‘Does the presence of an upper extremity injury affect outcomes following major trauma', Journal of Trauma, vol 58, pp. 1175-8.

Gabbe B, Cameron P, Wolfe R, Simpson P, Smith K, McNeil J 2005, ‘Pre-hospital prediction of intensive care unit stay and mortality in blunt trauma patients', Journal of Trauma, vol 59, pp. 458-65.

Gabbe B, Magtengaard K, Hannaford A, Cameron P 2005, ‘Is the Charlson Comorbidity Index useful for predicting trauma outcomes', Academic Emergency Medicine, vol 12, pp. 318-21.

Gabbe B, Finch C, Cameron P, Williamson O 2005, ‘The incidence of serious injury and death during sport and recreation activities in Victoria, Australia', British Journal of Sports Medicine, vol 38, no 8, pp. 573-7.

Gabbe B, Cameron P, Wolfe R, Simpson P, Smith K, McNeil J 2005, ‘Predictors of mortality, length of stay and discharge destination in blunt trauma', Australian and New Zealand Journal of Surgery, vol 75, pp. 650-6.

Mulholland SA, Gabbe BJ, Cameron PA 2005, ‘Is paramedic judgement useful in prehospital trauma triage?' Injury, vol. 36, pp. 1298-1305.

Gabbe B, Williamson O, Cameron P, Dowrick A 2005, ‘Choosing outcome assessment instruments for trauma registries', Academic Emergency Medicine, vol. 12, pp. 751-8.

Cameron PA, Gabbe BJ, McNeil JJ, Finch CF, Smith KL, Cooper J, Judson R, Kossmann T 2005, ‘The Trauma Registry as a Statewide Quality Improvement Tool', Journal of Trauma, vol 59, no 6, pp 469-76.

Dowrick AS, Gabbe BJ, Williamson O, Wolfe R, Cameron PA 2006, ‘A comparison of self-reported and independently observed disability in an orthopedic trauma population.' Journal of Trauma, vol 61, no 6, pp 1447-52.

Wolfe R, McKenzie D, Black J, Simpson P, Gabbe B, Cameron P 2006, ‘Models developed by three techniques did not achieve acceptable prediction of binary trauma outcomes', Journal of Clinical Epidemiology, vol. 59, pp. 26-35.

Mitra B, Cameron P, Butt W, Rosenfeld J 2006, ‘Children or Young Adults? A population based study of Paediatric Head Injuries. Australian and New Zealand Journal of Surgery, vol. 76, pp. 343-50.

Lee WY, Cameron PA, Bailey MJ 2006, ‘Road Traffic Injuries in the Elderly', Emergency Medicine Journal,- vol. 23, no.1, pp.42-6.

Willis CD, Cameron PA, Bernard SA, Fitzgerald M 2006, ‘Cardiopulmonary resuscitation after traumatic cardiac arrest is not always futile', Injury, vol. 37, pp. 448-54.

Dowrick AS, Gabbe BJ, Williamson OD, Wolfe R, Cameron PA 2006, ‘Does the Disabilities of the Arm, Shoulder and Hand (DASH) measure disability only due to injuries to the upper limb?' Journal of Bone and Joint Surgery Britain,- vol 88B, no. 4, pp. 524-27.

Willis CD, Gabbe BJ, Butt W, Cameron PA 2006, ‘Assessing outcomes in paediatric trauma populations'. Injury, vol. 37, pp. 1185-96.

Gabbe BJ, Cameron PA, Hannaford AP, Sutherland AM, McNeil JJ 2006, ‘Routine follow-up of major trauma patients from trauma registries - What are the outcomes?'. The Journal of Trauma, Injury, Infection and Critical Care, vol. 61, no 6, pp. 1393-99.

Cameron PA, Gabbe BJ, McNeil JJ 2006, ‘The importance of quality of survival as an outcome measure for an integrated trauma system', Injury, vol. 37, pp. 1178-84.

Davey T, Pollard C, Aitken LM, Fitzgerald L, Bellamy N, Cass D, Danne PD, Griggs WM, Cameron PA, Atkinson RN, Hamill J, Rao S, Richardson DB, O'Connor C 2006, ‘Addressing the burden of injury in Australasia: developing a bi-national trauma registry', Medical Journal of Australia, vol. 185, no. 9, pp. 512-14.

Shahim N, Cameron P, McNeil J 2006, ‘Maxillofacial Trauma in Major Trauma Patients'. Australian Dental Journal, vol. 51, no. 3, pp. 225-30.

Willis CD, Gabbe BJ, Cameron PA 2007, ‘Measuring Quality in Trauma Care', Injury, vol. 38, pp 527-37.

Mitra B, Gabbe BJ, Cameron PA 2007, ‘Ladders revisited', Medical Journal of Australia, vol. 186, pp 31-34.

Gabbe BJ, Sutherland AM, Williamson OD, Cameron PA 2007, ‘Use of health care services 6 months following major trauma', Australian Health Review, vol. 31, no. 4, pp. 628-32.

Gabbe B, Sutherland A, Wolfe R, Wiliamson O, Cameron P 2007, ‘Can the modified Functional Independence Measure be reliably obtained from the patient medical record by different raters?'  Journal of Trauma, vol. 63, pp. 1374-79.

Willis CD, Evans SM, Stoelwinder JU, Cameron PA 2007, ‘Measuring Quality', Australian Health Review, vol. 31, no. 2, pp. 276-81.

Ashour A, Cameron P, Bernard S, Fitzgerald M, Smith K, Walker T 2007, ‘Could bystander first-aid prevent trauma deaths at the scene of injury?'  Emergency Medicine Australia, vol. 19, no. 2, pp.163-8.

Mitra B, Cameron P, Butt W 2007, ‘A population based study of significant paediatric head injury', Journal of Paediatrics and Child Health, vol. 43, pp. 154-9.

Gabbe BJ, Cameron PA, Williamson OD, Edwards ER, Graves SE, Richardson MD, 2007, ‘The relationship between compensable status and long term outcomes following orthopaedic trauma', Medical Journal of Australia, vol. 187, no. 1, pp. 14-17.

Mulholland S, Cameron P, Gabbe B, Williamson O, Young K, Smith K, Bernard S  2008, ‘Prehospital prediction of blunt anatomic injuries',  Journal of Trauma, vol. 64, no. 3, pp. 1-7.

Cheng CH, Graham CA, Gabbe BJ, Yeung JHH, Kossmann T, Judson RT, Cheung NK, Rainer TH, Cameron PA 2008, ‘Trauma care systems: a comparison of trauma care in Victoria, Australia and Hong Kong, China', Annals of Surgery, vol. 247, no. 2,  pp. 335-42.

Gabbe BJ, Simpson, P, Sutherland AM, Williamson OD Judson R, Kossmann T,

Cameron PA 2008, ‘Functional measures at discharge: are they useful predictors of longer term outcomes for trauma registries?', Annals of Surgery, vol. 247, no. 5, pp. 854-9.

Mitra B, Cameron P, Gabbe B, Rosenfeld JV, Kavar B, 2008, ‘Management and hospital outcome of the severely head injured elderly patient', ANZ Journal of Surgery, vol. 78, pp. 588-92.

Willis C, Stoelwinder J, Cameron P, 2008, ‘Interpreting process indicators in trauma care: Construct validity versus confounding by indication', International Journal of Quality Care, vol. 20, no. 5, pp. 331-38.

Andrew NE, Gabbe BJ, Wolfe R, Williamson OD, Richardson MD, Edwards ER, Cameron PA, 2008, ‘Twelve-month outcomes of serious orthopaedic sport and active recreation-related injuries admitted to Level 1 Trauma Centres in Melbourne, Australia, Clinical Journal of Sports Medicine, vol. 18, no. 5, pp. 387-93.

Cameron PA, Gabbe BJ, Cooper DJ, Walker T, Judson R, McNeil JJ, 2008 ‘A statewide system of trauma care improves patient survival', Medical Journal of Australia, vol. 189, no. 10, pp. 546-550.

O'Mullane PA, Mikocka-Walus A, Gabbe B, Cameron PA, 2009, ‘The incidence of major trauma assaults on the rise: A population-based study', Medical Journal of Australia vol. 19, no. 3, pp. 129-132.

Sikic M, Mikocka-Walus A, Gabbe B, McDermott F, Cameron P, 2009 ‘Is it time for a comprehensive injury prevention strategy for bicycle-related injuries?'  Medical Journal of Australia, vol. 190, no. 7, pp. 353-356.

Cameron P, Gabbe B. The Effect of Compensation Claims on Outcomes after Injury. Injury vol. 40, no. 9, pp. 973-977. 217.

Utomo WK, Gabbe BJ, Simpson PM, Cameron PA. Predictors of in-hospital mortality and 6-month functional outcomes in an elderly population after moderate to severe traumatic brain injury. Injury 2009; 40(9):973-977.

Samaresekera S, Mikocka-Walus, A, Butt W, Cameron P.      Epidemiology of major paediatric chest trauma. Journal of Paediatric and Child Health 2009; 45(11): 676-680.

Zalstein S, Danne P, Taylor D, Cameron P, McLellan S, Fitzgerald M, Kossmann T, Patrick I, Walker T, Crameri J, Bailey M, Magilton G.  The Victorian Major Trauma Transfer Study. Injury 2010; 41(1): 102-109.

Andrew NE, Gabbe BJ, Wolfe R, Cameron PA. Evaluation of instruments for measuring the burden of sport and active recreation injury. Sports Medicine 2010; 40(2):141-161

Engel D, Mikocka-Walus A, Cameron P, Maegele M. 2010 Pre hospital and in-hospital parameters and outcomes in patients with traumatic brain injury. A comparison between German and Australian registry. Injury EPub February 2010

Mitra B, Jubair JA, Cameron P, Gabbe B. Tram related trauma in Melbourne, Victoria. Emergency Medicine Australasia 2010; 22: 337-342

Student: N/A

Contact Person: Mimi Morgan - mimi.morgan@ monash.edu