Development of a quality indicator set to measure and improve quality of ICU care for patients with traumatic brain injury

Huijben, Jilske A.; Wiegers, Eveline J. A.; de Keizer, Nicolette F.; Maas, Andrew I. R.; Menon, David; Ercole, Ari; Citerio, Giuseppe; Lecky, Fiona; Wilson, Lindsay; Cnossen, Maryse C.; Polinder, Suzanne; Steyerberg, Ewout W.; van der Jagt, Mathieu; Lingsma, Hester F.

doi:10.1186/s13054-019-2377-x

Critical Care

Table 2 Baseline characteristics Delphi panel

From: Development of a quality indicator set to measure and improve quality of ICU care for patients with traumatic brain injury

	Number	Percent
Total number of Delphi panelists	50	100
Total number of participating centers	37	100
Gender (N = 50)
Male	40	80
Female	10	20
Profession (N = 50)
Neurosurgeon	7	14
Intensivist	24	48
Neurologist	5	10
Anesthesiologist	5	10
Trauma surgeon	2	4
Rehabilitation specialist	3	6
Methodologist/researcher in TBI	3	6
Neurophysiologist	1	2
Number of years of professional experience at the ICU ^a(N = 44)
3–5 years	4	9
5–10 years	8	18
10–15 years	7	16
> 15 years	25	57
Primary responsible/in charge for the daily care of patients with TBI at the ICU ^a(N = 45)
Yes	21	47
No	24	53
Location ^b(N = 50)
Northern Europe	6	12
Western Europe	28	56
UK	5	10
Southern Europe	8	16
Eastern Europe	2	4
Baltic States	1	2
Center (N = 44)
Academic	37	84
Nonacademic	7	16
Center location ^c(N = 45)
Urban	44	98
Suburban	1	2
Trauma designation ^d(N = 45)
Level I	31	69
Level II	1	2
Level III	7	15
Our center is not officially designated as a trauma center	3	7
Our country does not explicitly designate trauma centers	3	7
Electronic patient records ^a(N = 45)
Yes	43	96
No	2	4
Participation in CENTER-TBI study (N = 49)
Yes	31	63
No	18	42

Level II trauma center: A level II trauma center provides comprehensive trauma care in either a population-dense area in which a level II trauma center may supplement the clinical activity and expertise of a level I institution or occur in less population-dense areas. In the latter case, the level II trauma center serves as the lead trauma facility for a geographic area when a level I institution is not geographically close enough to do so. It is characterized by 24-h in-house availability of an attending surgeon and the prompt availability of other specialties (e.g., neurosurgeon, trauma surgeon). Level III trauma center: A level III trauma center has the capacity to initially manage the majority of injured patients and have transfer agreements with a level I or II trauma center for seriously injured patients whose needs exceed the facility’s resources
TBI traumatic brain injury, CENTER-TBI study Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury study, ICU intensive care unit
^aOnly asked to those who answered clinician as a profession
^bLocation is based on United Nations geoscheme: Northern Europe = Norway (1), Sweden (2), Finland (2), and Denmark (1); Western Europe = Austria(1), Belgium (3), France (1), Germany (4), Switzerland (1), and The Netherlands (18); the UK and Ireland (5), Southern Europe = Portugal (1), Italy (5), and Spain (2); Eastern Europe = Ukraine (1), Serbia (1); Baltic States = Latvia (1)
^cUrban: an hospital location very near to a city and situated in a crowded area
Suburban: between urban and rural (an hospital location in or very near to the countryside in an area that is not crowded.)
^dLevel I trauma center: A regional resource center that generally serves large cities or population-dense areas. A level I trauma center is expected to manage large numbers of severely injured patients (at least 1200 trauma patients annually or have 240 admissions with an Injury Severity Score of more than 14). It is characterized by 24-h in-house availability of an attending surgeon and the prompt availability of other specialties (e.g., neurosurgeon, trauma surgeon)

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ISSN: 1364-8535

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