The Scottish Trauma Audit Group
Patient Reported Outcome Measures (PROMS)
Introduction & Background
Injuries due to trauma remain a major cause of morbidity and mortality in the UK and throughout the world. It is the leading cause of death in the 15-44 age group worldwide and a major cause of disability and loss of economic ability.
Within the spectrum of injury, major trauma describes serious and/ or multiple injuries where there is a high likelihood of death or permanent disability. The internationally accepted definition of major trauma is based on the Injury Severity Score (ISS) where an ISS>15 defines major trauma. Within Scotland, there are approximately 1500 patients with an ISS>15 each year with a further 6000 (ISS 1-15) requiring hospitalisation for more than 72 hours or who die from their injury.
The optimal method for providing care for patients with major trauma is the subject of ongoing debate. Evidence from the review of trauma care and implementation of a Major Trauma Network in NHS England suggests that in a UK context there may be significant benefits from the implementation of a Major Trauma Network.
Within Scotland, the National Planning Forum (NPF) recommended a reconfiguration of trauma systems within Scotland to provide a Scottish Trauma Network (STN) and all four regional networks have been live since August 2021.
The STAG already report on case-mix adjusted mortality using the Trauma Audit & Research Network (TARN) Ps12 methodology. The STAG have now been asked to assist in the evaluation of the potential effects of the introduction of a new trauma network by collecting and reporting functional outcome and quality of life data using PROMs methodology.
Aims
To improve understanding of functional and quality of life outcomes for patients with major and moderate trauma;
To assess the impact on mortality and functional outcome/ quality of life following the change of provision of trauma care in Scotland to a major trauma system; and
To use these data as part of an ongoing quality improvement process; which will include reviewing individual cases and hospital/ regional network level trends to help guide where improvements to processes may be required.
For further information and references please refer to the STAG PROMs Protocol below.
Please note: a number of the files below are not fully accessible and users of assistive technologies may have problems understanding or navigating through the content. If this is the case, please contact the STAG team at phs.stag@phs.scot for help.
The PROMs data collection is being managed by an external survey contractor – IQVIA. For further information regarding this company please review their website - https://www.iqvia.com - (external website).
