Analysis of vascular injury patterns, vessel repair methods and patient outcomes based on JTTR
data led to improvements in Soldier training, equipment and combat casualty care over the last decade, allowing a greater percentage of Soldiers suffering vascular trauma to survive long enough to reach medical care.
The information in the JTTR also draws data abstracted from multiple electronic datasets, including the US Transportation Command Regulating and Command & Control Evacuation System, the Theater Medical Data Storage, the Composite Health Care System, and Essentris (CliniComp, International, San Diego, CA), the electronic medical record system.
Military specific data elements within the JTTR include expanded demographic data, including military branch, rank, and military occupation.
We also could not determine from the JTTR or the TPR registries the onset or severity of BRIs for individual patients.
Abbreviations: AMA = American Medical Association, BRI = blast-related injury, CDC = Centers for Disease Control and Prevention, CNS = central nervous system, DSS = Decision Support System, FY = fiscal year, IED = improvised explosive device, JTTR = Joint Theater Trauma Registry, MS = musculoskeletal, OIF/OEF = Operation Iraqi Freedom/Operation Enduring Freedom, PRC = Polytrauma Rehabilitation Center, R&D = Research and Development, SD = standard deviation, TPR = Tampa Polytrauma Registry, VA = Department of Veterans Affairs, VHA = Veterans Health Administration.
data available to analyze not only provides a historical record of the evolving nature of the conflicts, but also helps shape Army Medicine's response and highlights future areas for study," said Capt.
A recent analysis of 3 years of trauma data from the JTTR, shown in the Figure, was significant in that the vast majority of battlefield casualties (87%) had no documentation at all of prehospital wounding mechanism, injury location, vital signs, or interventions.
Deployed medical commanders ensure that the data is transcribed from the cards and the registries into the electronic medical records and the JTTR.