지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.87 No.6
- 발행연도
- 2014.11
- 수록면
- 319 - 324 (6page)
이용수
초록· 키워드
오류제보하기
Purpose: Trauma team activation (TTA) has been shown to have fundamental impact on trauma patients" outcomes. The purpose of this study was to evaluate the short-term outcomes of use of a new TTA protocol in the management of major trauma patients who underwent exploratory laparotomy.
Methods: The medical records of trauma patients who had been treated by the new TTA protocol (NT) over 18 months were compared with those of trauma patients treated by the old TTA protocol (OT) over 18 months. Comparisons between the two groups in terms of the time interval between accident and emergency room (ER) arrival, between ER arrival and CT scanning, between ER arrival and operating room (OR) presentation, between accident and OR presentation, mean intensive care unit (ICU) stay, mean hospital stay, mortality within 24 hours, mean mortality within one month, and overall mortality were performed using the Pearson chi-squared test and Student t-test.
Results: The time interval between accident and ER arrival, between ER arrival and CT scanning, between ER arrival and OR presentation, and between accident and OR presentation was found to have decreased significantly with the use of NT compared to OT. However, the mean ICU stay, mean hospital stay, mortality within 24 hours, mortality within one month, and overall mortality were found not to have improved.
Conclusion: While initiation of early TTA can shorten the time interval in the management of trauma patients, it may not improve patient outcomes.
Methods: The medical records of trauma patients who had been treated by the new TTA protocol (NT) over 18 months were compared with those of trauma patients treated by the old TTA protocol (OT) over 18 months. Comparisons between the two groups in terms of the time interval between accident and emergency room (ER) arrival, between ER arrival and CT scanning, between ER arrival and operating room (OR) presentation, between accident and OR presentation, mean intensive care unit (ICU) stay, mean hospital stay, mortality within 24 hours, mean mortality within one month, and overall mortality were performed using the Pearson chi-squared test and Student t-test.
Results: The time interval between accident and ER arrival, between ER arrival and CT scanning, between ER arrival and OR presentation, and between accident and OR presentation was found to have decreased significantly with the use of NT compared to OT. However, the mean ICU stay, mean hospital stay, mortality within 24 hours, mortality within one month, and overall mortality were found not to have improved.
Conclusion: While initiation of early TTA can shorten the time interval in the management of trauma patients, it may not improve patient outcomes.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (21)
참고문헌 신청
1. [학술지(정기간행물)] - Rivara FP. / 1997 / Injury prevention. First of two parts / N Engl J Med 337 : 543 ~ 548
2. [학술지(정기간행물)] - Demetriades D. / 2005 / The effect of trauma center designation and trauma volume on outcome in specific severe injuries / Ann Surg 242 : 512 ~ 517
3. [학술지(정기간행물)] - MacKenzie EJ. / 2006 / A national evaluation of the effect of trauma-center care on mortality / N Engl J Med 354 : 366 ~ 378
4. [학술지(정기간행물)] - Lehmann RK. / 2007 / Trauma team activation : simplified criteria safely reduces overtriage / Am J Surg 193 : 630 ~ 634
5. [학술지(정기간행물)] - Kouzminova N. / 2009 / The efficacy of a two-tiered trauma activation system at a level I trauma center / J Trauma 67 : 829 ~ 833
2. [학술지(정기간행물)] - Demetriades D. / 2005 / The effect of trauma center designation and trauma volume on outcome in specific severe injuries / Ann Surg 242 : 512 ~ 517
3. [학술지(정기간행물)] - MacKenzie EJ. / 2006 / A national evaluation of the effect of trauma-center care on mortality / N Engl J Med 354 : 366 ~ 378
4. [학술지(정기간행물)] - Lehmann RK. / 2007 / Trauma team activation : simplified criteria safely reduces overtriage / Am J Surg 193 : 630 ~ 634
5. [학술지(정기간행물)] - Kouzminova N. / 2009 / The efficacy of a two-tiered trauma activation system at a level I trauma center / J Trauma 67 : 829 ~ 833
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UCI(KEPA) : I410-ECN-0101-2015-510-002847747