Geriatrics
Conditions
Keywords
Algorithm, In-hospital mortality, Multiple trauma, Standard of care
Brief summary
This study investigated whether there were improvements in the in-hospital mortality, infection rate, and rate of palliative care among geriatric trauma patients after the implementation of new standard operating procedures (SOPs) for the resuscitation room. These new SOPs, comprising early whole-body computed tomography (CT), damage control surgery, and the use of goal-directed coagulation management, were designed for severely injured adult trauma patients
Detailed description
This study involved the analysis of a prospective single-centre database. Patients admitted via the resuscitation room with need for intensive care treatment after the resuscitation room phase were included and compared before the implementation of the new SOPs (between 1 January, 2000 and 31 December, 2006) and after their implementation in 2009 (between 1 January, 2010 and 31 December, 2012) of our level-I trauma centre.
Interventions
BEHAVIORALFollowing new SOPs
The new SOPs comprised early whole-body CT, damage control surgery, and the use of goal-directed coagulation management and are based on the ATLS® concept, which was the strictly followed protocol before implementation of the new SOPs
Sponsors
University of Zurich
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Inclusion in internal trauma database
Exclusion criteria
Comprised age \< 65 years, ISS \< 9, and transfers from other hospitals.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| In-hospital mortality | 30 days | In-hospital mortality |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Infections | 30 days | Infections |
| Rate of palliative care | 30 days | Rate of palliative care |
Outcome results
None listed