injury Treatment and Rehabilitation Accessibility Queensland Index (iTRAQI):
Pilot for Moderate-to-Severe Traumatic Brain Injury

Why the research project is important

iTRAQI exampleQueensland’s vast geography makes transporting an injured person to the right place for the right care at the right time very complex. Transporting trauma patients involves ambulances, helicopters, and planes to make sure people injured in rural and remote areas receive the right care quickly. If you suffer a traumatic brain injury near Townsville, for example, your access to appropriate acute care is high because Townsville University Hospital has a neurosurgical unit. But if, for example, you live in more regional/rural areas, your access to the nearest neurosurgeon is more complex. iTRAQI was developed to show this complexity in a geospatial way.

What the research seeks to do

iTRAQI shows regions in Queensland where gaps in accessible, specialised time-critical care exist. iTRAQI gives health planners information on which Queensland locations have the most access challenges when transporting patients with a potential life-threatening brain injury to the most appropriate hospital for acute care and rehabilitation. This information will allow informed decision-making regarding health system developments to be made.

What are the research outcomes/ impact

Travel time to acute care could take up to almost 9 hours even in ideal circumstances, and driving time to rehabilitation care could take up to 21 hours. Large differences in travel time were observed in each ARIA+ category, highlighting the importance of having this healthcare-access specific index. In the future, the tool can also be adapted for other serious injury types such as spinal cord injuries, burns and complex orthopaedic trauma.

Funding Body

The Pilot project received funding from the Australian Research Council through the ARC Centre of Excellence for Mathematical and Statistical Frontiers (ACEMS), and QUT Centre for Data Science.

The current phase is funded by an Emergency Medicine Foundation Trauma Care in Regional, Rural and Remote Queensland grant.

Further Details

iTRAQI tool:

QUT News: New tool tackles time & distance factors in emergency brain injury care.

Learn how AusHSI and the Jamieson Trauma Institute are transforming trauma care in Queensland and beyond.

Watch Dr Susanna Cramb as she presents a Dr Seuss-inspired overview of the iTRAQI tool.

QUT / Jamieson Trauma Institute

Dr Susanna Cramb

Ms Jacelle Warren

Professor Kirsten Vallmuur

Mr Adam Rolley

Mr Rex Parsons

Dr Alan Woodley

Mr Christopher Hayden

A/Prof Angela Watson

Dr Gary Mitchell

Queensland Ambulance Service

Mr Adam Rolley

Retrieval Services Queensland

Dr Clinton Gibbs

Royal Brisbane & Women’s Hospital

Dr Gary Mitchell