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KMID : 0360720110240020075
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Journal of the Korean Society Traumatology
2011 Volume.24 No. 2 p.75 ~ p.81
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A Comparison of the Effectiveness of Before and After the Trauma Team’s Establishment: Treatment Outcomes and Lengths of Stay in the Emergency Department
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Kwon Cheong-Hoon
Park Chang-Min
Park Yeong-Tae
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Abstract
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Purpose: The aim of this study was to analyze the influence of a trauma team’s management.
Methods: A total of 181 patients with severe trauma were retrospectively divided into two groups. Of these 181 patients, 81 patients without a trauma team admitted between April and October 2008 were assigned to Group 1, and 100 patients with a Trauma team admitted between April and October 2009 were assigned to Group II. We compared general characteristics, the length of stay in the emergency department (ED) and treatment outcomes (24-h packed RBC transfusion, length of intensive care unit (ICU) stay, length of hospital stay, in-hospital mortality, 24-h mortality) between these two groups.
Results: The length of stay in the ED was significantly reduced in Group II compared to Group I (P =0.025). No significant differences were found in mean arterial pressure, Glasgow Coma Scale, Revised Trauma Score, Injury Severity Score, in-hospital mortality and 24-h mortality between the two groups. However, Group II had a lower amount of 24-h packed RBC transfusion and a shorter length of ICU and hospital stay than Group I, although these differences were not statistically significant.
Conclusion: Through the establishment of a trauma team, the length of stay in the ED can be reduced remarkably. Furthermore, the need for 24-h packed RBC transfusions and the length of stay in the ICU and hospital were found to be decreased in patients managed by a trauma team.
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KEYWORD
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Trauma team, Outcome, Length of stay
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