An initiative to assess and improve the resources and patient care processes used among Chest Wall Injury Society collaborative centers (CWIS-CC2)

Authors

Evert A. Eriksson, Medical University of South Carolina, Department of Surgery.
Amanda Waite, Medical University of South Carolina, Department of Surgery.
SarahAnn S. Whitbeck, Chest Wall Injury Society, Chief Executive Officer.
John A. Bach, Riverside Methodist Hospital, Department of Surgery.
Zachary M. Bauman, University of Nebraska Medicine, Department of Surgery.
Lindsey Cavlovic, University of Nebraska Medicine, Department of Surgery.
Kate Dale, Gold Coast Health, Department of Surgery.
William B. DeVoe, Riverside Methodist Hospital, Department of Surgery.
Andrew R. Doben, St Francis Hospital and Medical Center, Department of Surgery.
John G. Edwards, Sheffield Teaching Hospitals NHS Foundation, Department of Cardiothoracic Surgery.
Joseph D. Forrester, Stanford University, Department of Surgery.
Adam J. Kaye, Overland Park Regional Medical Center, Department of Surgery.
John Green, Atrium Health, Department of Surgery.
Jeremy Hsu, Westmead Hospital University of Sydney, Department of Surgery.
Andrea Hufford, Overland Park Regional Medical Center, Department of Surgery.
Christopher Janowak, University of Cincinnati, Department of Surgery.
Susan Kartiko, The George Washington University, Department of Surgery.
Ernest E. Moore, Denver Health Medical Center, Department of Surgery.
Bhavik Patel, Gold Coast Health, Department of Surgery.
Fredrick Pieracci, Denver Health Medical Center, Department of Surgery.
Babak Sarani, The George Washington University, Department of Surgery.
Sebastian D. Schubl, University of California, Irvine, Department of Surgery.
Gregory Semon, Wright State University, Department of Surgery.
Bradley W. Thomas, Atrium Health, Department of Surgery.
Jamie Tung, Stanford University, Department of Surgery.
Esther M. Van Lieshout, Erasmus MC, Rotterdam, Department of Traumatology.
Thomas W. White, Intermountain Healthcare, Department of Surgery.
Mathieu M. Wijffels, Erasmus MC, Rotterdam, Department of Traumatology.
Martin E. Wullschleger, Royal Brisbane & Women's Hospital, Department of Surgery.

Document Type

Journal Article

Publication Date

10-26-2023

Journal

The journal of trauma and acute care surgery

DOI

10.1097/TA.0000000000004158

Abstract

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.

APA Citation

Eriksson, Evert A.; Waite, Amanda; Whitbeck, SarahAnn S.; Bach, John A.; Bauman, Zachary M.; Cavlovic, Lindsey; Dale, Kate; DeVoe, William B.; Doben, Andrew R.; Edwards, John G.; Forrester, Joseph D.; Kaye, Adam J.; Green, John; Hsu, Jeremy; Hufford, Andrea; Janowak, Christopher; Kartiko, Susan; Moore, Ernest E.; Patel, Bhavik; Pieracci, Fredrick; Sarani, Babak; Schubl, Sebastian D.; Semon, Gregory; Thomas, Bradley W.; Tung, Jamie; Van Lieshout, Esther M.; White, Thomas W.; Wijffels, Mathieu M.; and Wullschleger, Martin E., "An initiative to assess and improve the resources and patient care processes used among Chest Wall Injury Society collaborative centers (CWIS-CC2)" (2023). GW Authored Works. Paper 3551.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/3551

Department

Surgery