Advanced trauma life support study: quality of diagnostic and therapeutic procedures
Autor: | Ger D.J. van Olden, H. Boxma, R.Jan A. Goris, J Dik Meeuwis, Hugo W. Bolhuis |
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Rok vydání: | 2004 |
Předmět: |
Tissue engineering and reconstructive surgery [UMCN 4.3]
Adult Male Resuscitation medicine.medical_specialty Faculty Medical Attitude of Health Personnel viruses Psychological intervention Hospitals Community Critical Care and Intensive Care Medicine Advanced Cardiac Life Support Quality of life immune system diseases hemic and lymphatic diseases Outcome Assessment Health Care parasitic diseases medicine Humans Prospective Studies Netherlands Quality of Health Care Observer Variation Medical Audit Study quality business.industry Multiple Trauma Internship and Residency Videotape Recording hemic and immune systems Middle Aged Survival Analysis Advanced trauma life support Surgery Life Support Care Traumatology Education Medical Graduate Orthopedic surgery Emergency medicine Female Level iii Clinical Competence business Residency training Program Evaluation |
Zdroj: | Journal of Trauma, 57, 381-4 Journal of Trauma, 57, 2, pp. 381-4 |
ISSN: | 0022-5282 |
Popis: | Item does not contain fulltext BACKGROUND: The introduction of the ATLS course in The Netherlands in 1995 provided for an opportunity to compare data of trauma patients between a pre-ATLS and a post-ATLS period. MATERIALS AND METHODS: Over a 3-year period (May 1996 - September 1997 pre ATLS; December 1997-April 1999 post ATLS) 63 trauma patients with an AIS-ISS > or = 16 (n = 31, pre-ATLS and n = 32, post-ATLS) were prospectively studied in two community residency training (ACS Level III) hospitals. All diagnostic and therapeutic procedures were recorded by a video-camera and evaluated by a neutral faculty of six experienced ATLS trained specialists. RESULTS: Ten out of 14 interventions were performed qualitatively better in the post-ATLS group, while also the overall score was highly significantly better (4.2 pre-ATLS and 5.8 post-ATLS, p < 0.0001). CONCLUSION: Using the opinion of an expert team, this study identified a significantly lower number of patients with inadequate management. |
Databáze: | OpenAIRE |
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