TY  - JOUR
PY  - 2016//
TI  - Impact of ATLS guidelines, trauma team introduction, and 24-hour mortality due to severe trauma in a busy, metropolitan Italian hospital: a case control study
JO  - Ulusal travma ve acil cerrahi dergisi
A1  - Magnone, Stefano
A1  - Allegri, Andrea
A1  - Belotti, Eugenia
A1  - Castelli, Claudio Carlo
A1  - Ceresoli, Marco
A1  - Coccolini, Federico
A1  - Manfredi, Roberto
A1  - Merli, Cecilia
A1  - Palamara, Fabrizio
A1  - Piazzalunga, Dario
A1  - Valetti, Tino Martino
A1  - Ansaloni, Luca
SP  - 242
EP  - 246
VL  - 22
IS  - 3
N2  - BACKGROUND: Advanced Trauma Life Support (ATLS) guidelines are widely accepted for use in initial management of trauma patients. The application of ATLS guidelines and introduction of management by means of trauma team (TT) both took place in April 2011. The aim of the present study was to evaluate related effects on mortality in the shock room (SR) and at 24 hours after admission. <br><br>METHODS: Data were retrieved by administrative software based on patient admission for trauma of at least 48 hours. Study period was from April 2011 to December 2012, and control period was from January 2007 to March 2011. All admitted patients were identified by first diagnosis (ICD 9-CM), excluding traumatic brain injuries, and only patients admitted to the general intensive care, general surgery, and orthopedics units were included. <br><br>RESULTS: The control group (CG) included 198 patients; the study group (SG) included 141. Differences were determined in patient age, which was mean 45.2 years (SD: 19.2) in the CG and mean 49.3 years (SD±18.3) in the SG (p=0.03). Differences were not found regarding gender, length of hospital stay, or Injury Severity Score (ISS). Among the patients who died, no differences were found in terms of systolic blood pressure, metabolic acidosis, or packed red blood cell consumption. Mortality was significantly higher in the CG, compared to the SG (14.1% vs 7.1%, respectively; p=0.033; confidence interval [CI]: 0.21-0.95). Mortality in the shock room was significantly lower in the SG, compared to the CG (0.7% vs 7.1%, respectively; p=0.002; CI: 0.004-0.592). <br><br>CONCLUSION: The introduction of ATLS guidelines and TT had a positive impact on mortality in the first 24 hours, both in the SR and after admission.<p />  <p>Language: en</p>
LA  - en
SN  - 1306-696X
UR  - http://dx.doi.org/
ID  - ref1
ER  -