Effect of construction of trauma care center on treatment of patients with severe multiple trauma
10.3760/cma.j.issn.1001-8050.2019.10.008
- VernacularTitle: 创伤救治中心建设前后严重多发伤患者救治效果比较
- Author:
Peng YANG
1
;
Hengfeng CHEN
1
;
Longgang WANG
1
;
Jun XIA
1
;
Fengbao GUO
1
;
Xiaofei ZHANG
1
;
Du CHEN
1
;
Xionghui CHEN
1
;
Weihua LING
1
;
Feng XU
1
Author Information
1. Department of Emergency Surgery, First Affiliated Hospital of Soochow University, Suzhou 215000, China
- Publication Type:Journal Article
- Keywords:
Trauma center;
Multiple trauma;
Injury severity scale;
Mortality
- From:
Chinese Journal of Trauma
2019;35(10):913-917
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of construction of trauma care center on the treatment of patients with severe multiple trauma.
Methods:A retrospective case control study was conducted to analyze the clinical data of 412 patients with severe multiple trauma admitted to the First Affiliated Hospital of Soochow University from December 2015 to November 2017. There were 250 males and 162 females, aged 19-80 years [(45.8±15.9)years]. The injury severity score (ISS) ranged from 18 to 57 points [(28.2±9.3)points]. The observation group included 211 patients who were treated after the establishment of the provincial trauma treatment center in Jiangsu Province, and the control group included 201 patients who were treated before the establishment of the provincial trauma treatment center. The durations from arrival to the start of rescue, from consultation to completion of CT examination, from applying for blood transfusion to the execution of blood transfusion by nurses, the time of stay at the resuscitation room and the mortality rate were compared between the two groups.
Results:The observation group presented better results in the durations from arrival to the start of rescue [(2.5±1.7)minutes vs. (5.4±2.6)minutes], from the start of the rescue to completion of CT scan [(36.2±11.6)minutes vs. (53.2±12.9)minutes], the transfusion time [(28.7±11.3)minutes vs. (46.5±14.1)minutes], and the time of stay at resuscitation room [(3.0±2.0)hours vs. (5.0±2.8)hours] (P<0.05 or 0.01). The mortality rate in the observation group was 3.8% (8/211), which was significantly lower than 8.5% (17/201) in control group (P<0.05).
Conclusion:The construction of trauma treatment center can effectively shorten the treatment time of patients with severe multiple trauma, reduce the mortality rate and improve the efficacy, which is worthy of promotion.
