1. Effect of construction of trauma care center on treatment of patients with severe multiple trauma
Peng YANG ; Hengfeng CHEN ; Longgang WANG ; Jun XIA ; Fengbao GUO ; Xiaofei ZHANG ; Du CHEN ; Xionghui CHEN ; Weihua LING ; Feng XU
Chinese Journal of Trauma 2019;35(10):913-917
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