@article{ref1,
title="Effects of rapid response trauma team in thoracic injuries in northern trauma center level I",
journal="Journal of the Medical Association of Thailand",
year="2013",
author="Chittawatanarat, Kaweesak and Ditsatham, Chagkrit and Chandacham, Kamtone and Chotirosniramit, Narain",
volume="96",
number="10",
pages="1319-1325",
abstract="BACKGROUND AND OBJECTIVE: Associated thoracic injury is the first priority at the initial assessment and its outcomes are time-dependent. Faculty of Medicine, Chiang Mai University organized a rapid response trauma team (RRTT) at mid-year 2006. The aims of this present paper were to report the effects of RRTT regarding outcomes of thoracic injury. MATERIAL AND METHOD: We performed a retrospective review for admitted thoracic injury patients between January 2004 and September 2009. The interval prior to July 2006 was defined as &quot;before RRTT&quot; and the latter as &quot;after RRTT&quot;. The severity-adjusted mortality was calculated. RESULTS: During the 69 months, 951 patients were included (427 in &quot;before RRTT&quot;, 524 in &quot;after RRTT&quot;). Although the severity injury score (ISS) was significantly lower before RRTT the severe trauma patients (ISS > 15) had a significantly higher mortality (25.3% vs. 15.3%; p = 0.01). RRTTsignificantly improved the mortality odds ratio in the overall and severe trauma [0.39 (0.22-0.68); p < 0.01 and 0.43 (0.25-0.73); p < 0.01]. Subgroup analysis found to have positive effects with the RRTT in maxillofacial, head, and orthopedics associated injuries. CONCLUSION: RRTT for thoracic injuries in the tertiary level I trauma center could decrease the severity-adjusted mortality, especially in severe trauma patients.<p /> <p>Language: en</p>",
language="en",
issn="0125-2208",
doi="",
url="http://dx.doi.org/"
}