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Aug 9, 2021 · The China Trauma Rescue & Treatment Association (CTRTA) and National Center for Trauma Medicine (NCTM) were founded in 2016 and 2019 to construct a trauma system adapted to Chinese specificities. In 2016, the “Chinese Regional Trauma Care System” (CRTCS) was created under the government’s auspices, and the first step called “100 Counties Project” was implemented (Fig. 1 b–d).
Jul 5, 2024 · Background In major trauma patients, hypocalcemia is associated with increased mortality. Despite the absence of strong evidence on causality, early calcium supplementation has been recommended. This study investigates whether calcium supplementation during trauma resuscitation provides a survival benefit. Methods We conducted a retrospective analysis using data from the TraumaRegister DGU ...
Dec 1, 2015 · Introduction Pre-hospital triage is a key element in a trauma system that aims to admit patients to the most suitable trauma center, and may decrease intra-hospital mortality. We evaluated the performance of a pre-hospital procedure in a regional trauma system through measurements of the quality of pre-hospital medical assessment and the efficacy of a triage protocol. Methods Our regional ...
Feb 16, 2024 · Introduction Trauma burden is one of the leading causes of young human life and economic loss in low- and middle-income countries. Improved emergency and trauma care systems may save up to 2 million lives in these countries. Method This is a comprehensive expert opinion participated by 4 experts analyzing 6 Asian countries compiling the most pressing trauma care issues in Asia as well as goal ...
Jul 18, 2024 · Background Healthcare inequities for patients with traumatic brain injury (TBI) represent a major priority area for trauma quality improvement. We hypothesized a relationship between health insurance status and timing of withdrawal of life sustaining treatment (WLST) for adults with severe TBI. Methods This multicenter retrospective observational cohort study utilized data collected between ...
May 15, 2020 · Design and setting. This was a retrospective cohort study using the Japan Trauma Data Bank (JTDB), which is a nationwide trauma registry established in 2003 by the Japanese Association for the Surgery of Trauma and by the Japanese Association for Acute Medicine with the aim of improving and ensuring the quality of trauma care in Japan, and compiled by the JTDB investigators [].
Apr 20, 2016 · Hypothermia is present in up to two-thirds of patients with severe injury, although it is often disregarded during the initial resuscitation. Studies have revealed that hypothermia is associated with mortality in a large percentage of trauma cases when the patient’s temperature is below 32 °C. Risk factors include the severity of injury, wet clothing, low transport unit temperature, use of ...
Aug 5, 2024 · Penetrating trauma represents a significant percentage of the overall trauma case load in many trauma systems.For patients with penetrating injuries, a longer time to hospital is associated with an increase in risk-adjusted odds of death [1, 2].
Sep 24, 2009 · All trauma ICU admissions over a seven-year period in a level 1 trauma center were analyzed. Admission characteristics, pre-existing conditions and acquired complications in the ICU were recorded. Logistic regression was used to identify independent predictors of prolonged LOS and predictors of mortality among those with prolonged LOS after univariate analyses.
May 18, 2024 · Background Critically injured patients need rapid and appropriate hemostatic treatment, which requires prompt identification of trauma-induced coagulopathy (TIC) upon hospital admission. We developed and validated the performance of a clinical score based on prehospital resuscitation parameters and vital signs at hospital admission for early diagnosis of TIC. Methods The score was derived from ...
