[Study on the improvement of trauma patient care: TRAUMACAT project]
| العنوان: | [Study on the improvement of trauma patient care: TRAUMACAT project] |
|---|---|
| المؤلفون: | Salvador, Navarro, Maylin, Koo, Carola, Orrego, Josep M, Muñoz-Vives, Marilyn, Rivero, Sandra, Montmany, Salvi, Prat, Angel, Pobo-Peris, Sonia, Puig, Maria Del Mar, Monerri, Ferran, Caballero, Enric, Cáceres |
| المصدر: | Medicina clinica. 143 |
| سنة النشر: | 2013 |
| مصطلحات موضوعية: | Adult, Diagnostic Imaging, Male, Education, Continuing, Critical Care, Health Personnel, Tertiary Care Centers, Young Adult, Humans, Hospital Mortality, Prospective Studies, Cooperative Behavior, Trauma Severity Indices, Diagnostic Tests, Routine, Multiple Trauma, Accidents, Traffic, Middle Aged, Quality Improvement, Radiography, Intensive Care Units, Interinstitutional Relations, Spain, Female, Interdisciplinary Communication, Guideline Adherence, Algorithms |
| الوصف: | Multiple injuries are a major source of morbidity and mortality in young people. The aim of this study was to evaluate the effect of a collaborative strategy to improve the implementation of six clinical indicators, recognized internationally, for the treatment of trauma patient. Prospective, multicentre, pre-and post-intervention study, in ten referral hospitals, offering polytrauma care in Catalonia. 378 patients were recruited for the pre-intervention study and 501 for the post-intervention study. All patients had a history of high-energy trauma requiring admission to critical or semi-critical care unit.collaborative strategy aimed at participating professionals, involving the creation of a panel of experts, appointment of monitors to encourage improvements at each centre, training, distribution of information, material and meetings, to exchange impressions.frequency and characteristics of trauma and percentage of compliance with clinical indicators. Study of 879 trauma patients. The injury mechanism was overall blunt trauma, in both pre and post intervention phases. The medium ISS (injury severity score) was 21 ± 12,8 and the medium TRISS (trauma and injury severity score) was 26,4 ± 11,4. We didn't find differences between both study phases, in relation to the severity of injury. The mortality rate was 11.5%. We observed significant improvement in the performance of chest X-rays (45% vs. 62%) and pelvis X-rays (27% vs. 62%) in the trauma box and in the fixation of the pelvis in patients with a fracture at this site (24% vs. 49%). The use of diagnostic radiology in hemodynamically unstable patients remained low (33%). The collaborative strategy was effective in improving certain indicators of clinical management. |
| تدمد: | 1578-8989 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=pmid________::968afd6c9ee703146d495908e31b94d9 https://pubmed.ncbi.nlm.nih.gov/25128356 |
| رقم الانضمام: | edsair.pmid..........968afd6c9ee703146d495908e31b94d9 |
| قاعدة البيانات: | OpenAIRE |
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