Emergencies, Multiple Trauma, Trauma
Conditions
Keywords
Severe trauma, Multiple trauma, Regional Trauma management system, Trauma management team
Brief summary
To evaluate the effects of trauma treatment team establishment on the treatment of patients with severe trauma.
Detailed description
This is a national multi-center, cluster-randomized controlled trial. This cluster-randomized controlled trial will be performed, with counties as the randomization units. The included counties will be randomized into an experimental group and a control group. A trauma treatment team will be only established in the experimental group. The in-hospital mortality rate will be compared between the experimental and control groups to investigate the effects of trauma treatment team establishment on the treatment of patients with severe trauma.
Interventions
OTHERtrauma treatment team
Establishing the trauma management system included a trauma treatment team. The severe trauma treatment team will be composed by the physicians from departments of emergency, orthopedic trauma, urology, cardiothoracic surgery, neurosurgery, general surgery, anesthesiology, and ICU.
OTHERBasic experimental settings
Establishing the trauma management system without a trauma treatment team.
Sponsors
Peking University People's Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
In this study, three-level subjects (counties, hospitals, and trauma patients) will be included according to the following inclusion and
Exclusion criteria
* inclusion: * Inclusion criteria of counties: * National counties and county-level administrative regions; * Local government and health management department have the desire and requirements to establish a standardized trauma emergency treatment system; * More than 500,000 people; * With pre-hospital emergency treatment system; * Trauma first aid needs: No less than 20 patients with severe trauma (ISS ≥ 16) throughout the county; * Inclusion criteria of hospitals: * With the most advanced regional treatment resources during the entire period from trauma recovery to rehabilitation for third-grade class A hospitals; * With basic trauma treatment resources for second-grade class A hospitals; * Trauma doctors are on call 24 hours a day and can participate in the early treatment of patients with trauma; * Inclusion criteria of patients: * Patients with acute trauma occurring within 48 hours; * Patients are transferred to trauma treatment center hospital or trauma treatment non-center hospitals; * Patients themselves go to or are transferred by their family members to the trauma treatment center hospital or trauma treatment non-center hospita; * Exclusion: *
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| In-hospital mortality rate | from hospital admission to discharge, an average of 20 days | the percentage of patients who die after hospitalization for severe trauma in admitted patients with severe trauma. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mortality rate of patients with severe trauma within 30 days after trauma attack | within 30 days after trauma attack | the percentage of patients who die within 30 days after trauma attack in admitted patients with severe trauma |
| Mortality rate of patients with severe trauma within 30 days after discharge | within 30 days after discharge | the percentage of patients who die within 30 days after discharge in admitted patients with severe trauma |
Contacts
Primary Contacttianbing Wang, MD
Outcome results
None listed