TRAUMA QUALITY IMPROVEMENT
Trauma video review outperforms prospective real-time data collection
Published on
Aug 2, 2022
Surgery
John R Rees, Zoe Maher, Ryan P Dumas, Michael A Vella, Mary E Schroeder, David J Milia, Alea I Zone, Jeremy W Cannon, Daniel N Holena
Overview
A major challenge in the study of high-impact, low-frequency procedures in trauma is the lack of accurate data for time-sensitive processes of care. Trauma video review offers a possible solution, allowing investigators to collect extremely granular time-stamped data. Using resuscitative thoracotomy as a model, the researchers compared data collected using review of audiovisual recordings to data prospectively collected in real time with the hypothesis that data collected using video review would be subject to less missingness and bias.
Results
There were 51 subjects (88% Black, 82% male, 90% injured by gunshot wounds) included over the study period. Missingness in resuscitative thoracotomy procedural milestone time measurements ranged from 34% to 63% for prospective collection and 0 to 8% for video review and was less missing for video review for all key variables. When not missing, bias in data collected by prospective collection was 10% to 43% compared with data collected by video review.
The data collected using video review have less missingness and bias than prospective collection data collected by trained research assistants. Audiovisual recording should be the gold standard for data collection for the study of time-sensitive processes of care in resuscitation.
Peer-reviewed Research
