TY - JOUR
T1 - An Initiative To Assess and Improve the Resources and Patient Care Processes Used Among Chest Wall Injury Society Collaborative Centers (CWIS-CC2)
AU - Eriksson, Evert A.
AU - Waite, Amanda
AU - Whitbeck, SarahAnn S.
AU - Bach, John A.
AU - Bauman, Zachary M.
AU - Cavlovic, Lindsey
AU - Dale, Kate
AU - DeVoe, William B.
AU - Doben, Andrew R.
AU - Edwards, John G.
AU - Forrester, Joseph D.
AU - Kaye, Adam J.
AU - Green, John
AU - Hsu, Jeremy
AU - Hufford, Andrea
AU - Janowak, Christopher
AU - Kartiko, Susan
AU - Moore, Ernest E.
AU - Patel, Bhavik
AU - Pieracci, Fredrick
AU - Sarani, Babak
AU - Schubl, Sebastian D.
AU - Semon, Gregory
AU - Thomas, Bradley W.
AU - Tung, Jamie
AU - Van Lieshout, Ester M. M.
AU - White, Thomas W.
AU - Wijffels, Mathieu M.E.
AU - Wullschleger, Martin E.
PY - 2023/10/26
Y1 - 2023/10/26
N2 - Background Over the last two decades, the acute management of rib fractures has changed significantly. In 2021, the Chest Wall injury Society (CWIS) began recognizing centers who epitomize their mission as CWIS Collaborative Centers (CWIS-CC). The primary aim of this study was to determine the resources, surgical expertise, access to care, and institutional support that are present among centers. Methods A survey was performed including all CWIS-CC evaluating the resources available at their hospital for the treatment of patients with chest wall injury. Data about each Chest Wall Injury Center (CWIC) care process, availability of resources, institutional support, research support, and educational offerings were recorded. Results Data was collected from 20 trauma centers resulting in an 80% response rate. These trauma centers were made up of 5 international and 15 US based trauma centers. Eighty percent (16/20) have dedicated care team members for the evaluation and management of rib fractures. Twenty-five percent (5/20) have a dedicated rib fracture service with a separate call schedule. Staffing for chest wall injury clinics consists of a multidisciplinary team: with attending surgeons in all clinics, 80%(8/10) with APPs and 70%(7/10) with care coordinators. Forty percent(8/20) of centers have dedicated rib fracture research support and 35%(7/20) have SSRF-related grants. Forty percent (8/20) of centers have marketing support and 30%(8/20) have a web page support to bring awareness to their center. At these trauma centers, a median of 4(1-9) surgeons perform surgical stabilization of rib fractures (SSRF). In the majority of trauma centers the trauma surgeons perform SSRF. Conclusions Considerable similarities and differences exist within these CWIS collaborative centers. These differences in resources are hypothesis generating in determining the optimal CWIC. These findings may generate several patient care and team process questions to optimize patient care, patient experience, provider satisfaction, research productivity, education, and outreach. Level of Evidence IV Economic & Value-Based Evaluations
AB - Background Over the last two decades, the acute management of rib fractures has changed significantly. In 2021, the Chest Wall injury Society (CWIS) began recognizing centers who epitomize their mission as CWIS Collaborative Centers (CWIS-CC). The primary aim of this study was to determine the resources, surgical expertise, access to care, and institutional support that are present among centers. Methods A survey was performed including all CWIS-CC evaluating the resources available at their hospital for the treatment of patients with chest wall injury. Data about each Chest Wall Injury Center (CWIC) care process, availability of resources, institutional support, research support, and educational offerings were recorded. Results Data was collected from 20 trauma centers resulting in an 80% response rate. These trauma centers were made up of 5 international and 15 US based trauma centers. Eighty percent (16/20) have dedicated care team members for the evaluation and management of rib fractures. Twenty-five percent (5/20) have a dedicated rib fracture service with a separate call schedule. Staffing for chest wall injury clinics consists of a multidisciplinary team: with attending surgeons in all clinics, 80%(8/10) with APPs and 70%(7/10) with care coordinators. Forty percent(8/20) of centers have dedicated rib fracture research support and 35%(7/20) have SSRF-related grants. Forty percent (8/20) of centers have marketing support and 30%(8/20) have a web page support to bring awareness to their center. At these trauma centers, a median of 4(1-9) surgeons perform surgical stabilization of rib fractures (SSRF). In the majority of trauma centers the trauma surgeons perform SSRF. Conclusions Considerable similarities and differences exist within these CWIS collaborative centers. These differences in resources are hypothesis generating in determining the optimal CWIC. These findings may generate several patient care and team process questions to optimize patient care, patient experience, provider satisfaction, research productivity, education, and outreach. Level of Evidence IV Economic & Value-Based Evaluations
KW - Patient care
KW - Resoures
KW - Rib Fractures
KW - Surgical stabilization of ribe fractures
KW - Trauma centers
UR - https://corescholar.libraries.wright.edu/surg/823
U2 - 10.1097/TA.0000000000004158
DO - 10.1097/TA.0000000000004158
M3 - Article
C2 - 37889926
JO - Journal of Trauma and Acute Care Surgery
JF - Journal of Trauma and Acute Care Surgery
ER -