Improved trauma care after reorganisation: a retrospective analysis
| Autor: | Göran Modin, Bo Michael Bellander, Karl Akke Alberts |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Quality Assurance Health Care Femoral shaft Medical care Teaching hospital Fracture Fixation Internal Injury Severity Score Trauma Centers Intervention (counseling) medicine Retrospective analysis Craniocerebral Trauma Humans Glasgow Coma Scale Child Hospitals Teaching Aged Retrospective Studies Patient Care Team Sweden business.industry Head injury Outcome measures Accidents Traffic Middle Aged medicine.disease Trauma care Surgery Child Preschool Hospital Restructuring Accidental Falls Female business Femoral Fractures |
| Zdroj: | The European journal of surgery = Acta chirurgica. 165(5) |
| ISSN: | 1102-4151 1987-1988 |
| Popis: | To shorten the time to make a diagnosis and to begin definitive treatment of severely injured patients, thereby improving their medical care.Retrospective analysis.Teaching hospital, Sweden.61 patients who had sustained high-energy injuries, including head injury which required surgical intervention, and fracture of the femoral shaft before (1987-1988 n = 23) and after (1991-1993 n = 38) the reorganisation.Trauma care was reorganised during the year 1989-1990 and the concept of early multidisiplinary treatment with the general surgeon as trauma-leader was adopted.The time required to make a diagnosis and begin definitive treatment as well as the assessment of medical care taking account of the patient's general condition and other injuries.The immediate medical care was classified as delayed or inappropriate in 9 of 23 patients before, and in 2 of 38 patients after, the reorganisation (p = 0.001). The time needed to make a diagnosis was less than 4 hours in all cases. The time needed to start definitive treatment of head injuries was less than four hours in 9 of 12 patients before, and in 18 of 21 patients after the reorganisation. The internal fixation of femoral fractures was started within four hours in 2 of 11 femoral fractures before, compared with 12 of 17, after the reorganisation.The time to beginning definitive treatment of severe injuries was shorter after the reorganisation, as a result of early participation of members of the trauma team. |
| Databáze: | OpenAIRE |
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