Orthopaedic trauma is a huge health issue that leads to long-term health consequences for individuals and places great demand on state health. Researchers are constantly identifying ways to improve hospital trauma practice, with support from the Victorian Orthopaedic Trauma Outcomes Registry (VOTOR).
VOTOR is a comprehensive monitoring register that has been gathering information on orthopaedic trauma in Victoria since 2003. It was originally funded by the TAC as a collaborative project between the Alfred Hospital, the Royal Melbourne Hospital, and Monash University's Department of Epidemiology and Preventative Medicine.
The registry monitors all orthopaedic injury treatment by electronically storing information about each included patient, injury event, admission, diagnosis, management and long-term patient outcomes. This information helps to isolate variations in orthopaedic clinical practice, and identify injuries, procedures or patient populations at high risk and in need of specific attention.
VOTOR has produced a considerable amount of information over the past 12 years. Since ISCRR became involved, several new projects have been developed making use of VOTOR data in order to deliver recommendations on the topic of hospital trauma care.
One of the most significant examples of trauma research made possible by VOTOR was an investigation into the classification, management and outcomes of severe pelvic ring fractures, which is a rare but high-risk injury.
This work was led by Professor Belinda Gabbe from the Monash Department of Epidemiology and Preventative Medicine. VOTOR made it possible for the team to access sufficient information about this rare patient group.
The team produced a final report establishing the importance of accurate pelvic ring fracture classification, and identifying the differences in long-term outcomes and mortality levels across differing treatment approaches.
VOTOR was also used in a study exploring how patients perceive trauma recovery.
In 2013, Professor Gabbe led a research team to provide evidence around the impact VOTOR has upon the TAC (including economic impact and impact upon the health outcomes of TAC claimants).
This team delivered a final report summarising the most valuable information provided by VOTOR to the TAC, and recommending the ongoing linkage of VOTOR with the TAC Claims Database.
Additionally, analysis of VOTOR data by researchers has led to the publication of countless journal articles. These can be accessed by searching ISCRR's research and publications.