Trauma registry in assessing severely injured patients' treatment and outcome at a tertiary trauma centre

Tutkimustuotos: OpinnäyteVäitöskirjaArtikkelikokoelma

Abstrakti

Background: Trauma is responsible for an annual five million deaths worldwide, as well as for long-lasting morbidity and disability, especially in younger patients. In the acute care of severely injured patients, randomized controlled studies are practically impossible. Trauma registries collect detailed information on severe injuries, treatment, and outcome, and thus serve as an important tool in evaluating quality care. Aim: To evaluate severely injured patients’ treatment and outcome at a tertiary trauma centre (the trauma unit of Helsinki University Hospital, HUH Trauma Unit) by means of both internal and international trauma registry comparisons, and to explore roles, challenges, limitations, and possible future applications of trauma registries in benchmarking and quality control in Finland. Methods: This retrospective analysis is based on the trauma registry of Helsinki University Hospital (TR-THEL) and the German Trauma Registry (TR-DGU) and analyses injuries, treatment, and outcome of severely injured adult patients (New Injury Severity Score ≥16) treated at the HUH Trauma Unit and at German level-one trauma centres between 2006-13. It assesses a prognostic model for outcome adjustment by internal and external validation, and analyses the effect of a massive transfusion protocol (MTP) in the treatment and outcome of haemodynamically compromised trauma patients (systolic blood pressure
Alkuperäiskielienglanti
JulkaisupaikkaHelsinki
Kustantaja
Painoksen ISBN978-951-51-2911-6
Sähköinen ISBN978-951-51-2912-3
TilaJulkaistu - 2017
OKM-julkaisutyyppiG5 Tohtorinväitöskirja (artikkeli)

Tieteenalat

  • Blood Transfusion
  • +trends
  • Brain Injuries
  • +classification
  • +therapy
  • Emergency Medical Services
  • Germany
  • Hemorrhage
  • Hospital Mortality
  • Injury Severity Score
  • Isotonic Solutions
  • +administration & dosage
  • Multiple Trauma
  • +mortality
  • Prognosis
  • Registries
  • Resuscitation
  • Retrospective Studies
  • Survival Rate
  • Time-to-Treatment
  • Transportation of Patients
  • Trauma Centers
  • Treatment outcome
  • Unconsciousness
  • Wounds and Injuries
  • 3126 Kirurgia, anestesiologia, tehohoito, radiologia
  • 3112 Neurotieteet

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