First-of-its-kind report focuses on hemorrhages, traumatic brain injury, fractures, hospital events, and the Injury Severity Score summary

ESO, the leading data and software company serving emergency medical services (EMS), fire departments, hospitals, state and federal agencies, today announced the findings of its 2021 ESO Trauma Index, a first-of-its-kind report focused on key trends across hospital trauma departments nationwide. The Index is based on data from nearly 600 hospitals across the United States that are part of the ESO Data Collaborative, representing one of the world’s largest deidentified trauma registry datasets. The report looks at a number of measures, including the whole blood and packed red blood cells (PRBCs) usage for hemorrhages; time to computerized tomography (CT) scan for patients with traumatic brain injury (TBI); time to antibiotics for patients with long-bone fractures and time to surgery for patients with hip fractures; most frequent hospital events; and Injury Severity Score (ISS) summary. Data for the Index are from January 1, 2020 through December 31, 2020.

“Traumatic injuries are a significant cause of death and disability in the United States,” said Garrett Hall, Director of Hospital and Registry Programs for ESO. “With the information from the ESO Data Collaborative, we are able to provide a nationwide benchmark for trauma programs around the country to evaluate performance around key metrics and measures that will improve patient care and safety.”

Key Findings Include:

• Hemorrhages: Whole blood usage is rare, with less than one percent of trauma patients receiving whole blood; PRBC transfusions is far more common, with close to 45 percent of whole blood and PRBCs provided within the first four hours of arrival at a trauma center.
• Traumatic Brain Injury: Approximately 75 percent of patients with TBI had a documented CT scan, with 99 percent receiving the scan within the first 24 hours.
• Fractures: 63 percent of patients presenting with open long-bone fractures received antibiotics within 60 minutes; 95 percent of geriatric patients requiring surgery for a hip fracture were moved from the Emergency Department (ED) to surgery in 24 hours or less.
• Hospital Events: Hospital events occurred nearly eight percent of the time, with the most common events being unplanned admission to intensive care unit (ICU), unplanned intubation and cardiac arrest with cardiopulmonary resuscitation (CPR).

“The ability to analyze and act on data will be a difference maker for many programs,” added Hall. “We will continue to refine and update the Trauma Index over the coming months and years to provide greater and deeper insights for the industry, with future editions including risk-adjusted benchmark reporting.”

The 2021 ESO Trauma Index can be downloaded here.

About the Index

The dataset for the ESO EMS Index is from the ESO Data Collaborative. It is real-world, de-identified data, compiled and aggregated from more than 600 hospitals across the United States that use ESO’s products and services and agreed to have their data used for research purposes. These data are based on 802,940 anonymized records between January 1, 2020 and December 31, 2020.

About ESO

ESO (ESO Solutions, Inc.) is dedicated to improving community health and safety through the power of data. Since its founding in 2004, the company continues to pioneer innovative, user-friendly software to meet the changing needs of today’s EMS agencies, fire departments, hospitals, state EMS offices, and federal agencies. ESO currently serves thousands of customers throughout North America with a broad software portfolio, including the industry-leading ESO Electronic Health Record (EHR), the next generation ePCR; ESO Health Data Exchange (HDE), the first-of-its-kind healthcare interoperability platform; ESO Fire RMS, the modern fire Record Management System; ESO Patient Registry (trauma, burn and stroke registry software); and ESO State Repository. ESO is headquartered in Austin, Texas. For more information, visit www.eso.com.

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