Early and Rapid Diagnosis with Multislice CT Reduces Lethality in Trauma Patients Requiring Intensive Care: Findings of a Prospective Study. (11th September 2013)

• Record Type: Journal Article
• Authors: Hilbert, Peter; zur Nieden, Karsten; Kaden, Ingmar; Hofmann, Gunther O.; Stuttmann, Ralph
• Other Names: Bebarta V. S. Academic Editor.; Shirley P. J. Academic Editor.
• Is Part Of: ISRN emergency medicine. Volume 2013(2013)
• Publication Date: 2013-09-11
• Subjects: Emergency medical services -- Periodicals; Emergency medicine -- Periodicals; Emergency Medicine; Emergency medical services; Emergency medicine; Electronic journals; Periodical; Periodicals; 616.025
• DOI: 10.1155/2013/458165
• Languages: English
• ISSNs: 2090-5629

Abstract

Abstract : Objective . The objective of this study was to investigate if short diagnostic times by MSCT have an influence on lethal outcomes. Methods . In three different patient populations, hospital mortality was examined. Group 1: retrospective data derived from conventional diagnostic methods in the trauma room between 2002 and 2003; group 2: data from the same centre taken prospectively between 2004 and 2010 after modification of the trauma room algorithm; group 3: a reference population from the TraumaRegister DGU (TR-DGU) from 2004 to 2010. Injury severity was determined using the ISS and lethality was predicted on the basis of the RISC. Results . At the singular centre, data from 943 polytraumatised patients requiring intensive care between 2002 and 2010 were examined. With the new trauma room algorithm, lethality was likewise significantly lower (9.1% versus 15%; P < 0.05 ) compared to the population from 2002 to 2003, with a comparable ISS (28.5 versus 30.2). The ISS (28.5) was comparable with the TR-DGU (24.9) population and lethality was significantly lower. Conclusion . Early diagnostic approaches using MSCT during the first minutes of trauma room treatment, as an integral part of a stringently timed, highly structured concept, have been found to reduce lethality as compared to the TR-DGU and our own retrospective historical data. This trial is registered with DRKS00005055 ; TR-DGU-Projekt-ID: 2009-005.