A Comparison of the Effectiveness of Before and After the Trauma Team's Establishment: Treatment Outcomes and Lengths of Stay in the Emergency Department
Journal of the Korean Society of Traumatology
; : 75-81, 2011.
Article
em Ko
| WPRIM
| ID: wpr-116110
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE: The aim of this study was to analyze the influence of a trauma team's management. METHODS: A total of 181 patients with severe trauma were retrospectively divided into two groups. Of these 181 patients, 81 patients without a trauma team admitted between April and October 2008 were assigned to Group 1, and 100 patients with a Trauma team admitted between April and October 2009 were assigned to Group II. We compared general characteristics, the length of stay in the emergency department (ED) and treatment outcomes (24-h packed RBC transfusion, length of intensive care unit (ICU) stay, length of hospital stay, in-hospital mortality, 24-h mortality) between these two groups. RESULTS: The length of stay in the ED was significantly reduced in Group II compared to Group I (p=0.025). No significant differences were found in mean arterial pressure, Glasgow Coma Scale, Revised Trauma Score, Injury Severity Score, in-hospital mortality and 24-h mortality between the two groups. However, Group II had a lower amount of 24-h packed RBC transfusion and a shorter length of ICU and hospital stay than Group I, although these differences were not statistically significant. CONCLUSION: Through the establishment of a trauma team, the length of stay in the ED can be reduced remarkably. Furthermore, the need for 24-h packed RBC transfusions and the length of stay in the ICU and hospital were found to be decreased in patients managed by a trauma team.
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WPRIM
Assunto principal:
Escala de Coma de Glasgow
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Escala de Gravidade do Ferimento
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Estudos Retrospectivos
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Mortalidade Hospitalar
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Emergências
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Pressão Arterial
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Unidades de Terapia Intensiva
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Tempo de Internação
Tipo de estudo:
Observational_studies
Limite:
Humans
Idioma:
Ko
Revista:
Journal of the Korean Society of Traumatology
Ano de publicação:
2011
Tipo de documento:
Article