@article{247da28532c44dfcb7125125325737ff,
title = "Establishing determinants and quality indicators for getting home alive following moderate to severe traumatic brain injury: the Australian Traumatic Brain Injury National Data Project",
abstract = "Moderate to severe traumatic brain injury (TBI) contributes to a significant burden across Australia. However, the data required to inform targeted equitable system-level improvements in emergency TBI care do not exist. The incidence and determinants of outcomes following moderate to severe TBI in Australia remain unknown. The variation in the impact of moderate to severe TBI, according to patient demographics and injury mechanism, is poorly defined. The Australian Traumatic Brain Injury National Data Project will lead to a clear understanding, across Australia and pre-specified subgroups (including Aboriginal and Torres Strait Islander peoples), of the incidence, determinants and impact of priority outcomes following moderate to severe TBI, including survival to discharge home. Furthermore, this project will establish a set of national clinical quality indicators for patients experiencing a moderate to severe TBI. The Australian Traumatic Brain Injury National Data Project will inform where to target emergency care system-wide improvements. Without baseline data, efforts are wasted.",
keywords = "emergency, injury, quality indicators, trauma, traumatic brain injury",
author = "O'Reilly, {Gerard M.} and Kate Curtis and Yesul Kim and Nick Rushworth and Biswadev Mitra and Jin Tee and Kate Hunter and Courtney Ryder and Delia Hendrie and Fitzgerald, {Mark C.}",
note = "Funding Information: The ATBIND Project is being supported by funding through the Australian Government's Medical Research Future Fund Mission for TBI. This project (ATBIND) will provide current national data on the incidence and outcomes of those with moderate to severe brain injury, focusing on identifying existing geographical, social, cultural, system and treatment variabilities and associated shortfalls. Specifically, the ATBIND Project will identify the key determinants of priority outcomes for patients with moderate to severe TBI across Australia. Its intended outcomes include a fresh and clear understanding, across Australia and for pre‐specified subgroups (e.g. including Aboriginal and Torres Strait Islander peoples), of the incidence and the main patient‐ and system‐level determinants of priority outcomes (following TBI), including survival to discharge home. This will enable the development of a targeted priority list of the predictors of recovery, and conversely, death and disability, at hospital discharge and the impact of variations in location, demographics, injury mechanism, system‐level processes of (TBI) patient referral, transfer, prehospital care, ED reception and hospital care on hospital discharge disposition. Finally, the ATBIND Project will establish, with key stakeholder group consultation, a set of national clinical quality indicators, targeting the identified key gaps and inconsistencies in patient‐ and system‐level emergency care linked to identified variations and inconsistencies in outcomes of Australians sustaining a moderate to severe TBI. In summary, the ATBIND Project will establish the Australia‐wide baseline data to inform where to target patient‐ and system‐level improvements in emergency care and to monitor progress against these national, relevant and measurable targets. Publisher Copyright: {\textcopyright} 2021 Australasian College for Emergency Medicine Copyright: Copyright 2021 Elsevier B.V., All rights reserved.",
year = "2021",
month = dec,
doi = "10.1111/1742-6723.13861",
language = "English",
volume = "33",
pages = "1121--1123",
journal = "EMA - Emergency Medicine Australasia",
issn = "1742-6731",
publisher = "Wiley-Blackwell",
number = "6",
}