Polytrauma patients in the Netherlands and the USA: A bi-institutional comparison of processes and outcomes of care

Dijkink, Suzan; Wilden, Gwendolyn M. van der; Krijnen, Pieta; Dol, L; Rhemrev, Steven J.; King, David R.; DeMoya, Marc; Velmahos, George C.; Schipper, Inger B.

doi:10.1016/j.injury.2017.10.021

Cited by 16 publications

(13 citation statements)

References 34 publications

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“…11 Trauma was commonest between young males because they always participate in high-risk activities, with highspeed driving and also drive without wearing any protective tools. 18 Regarding to the mechanism of injury, this study showed that the majority of the studied patient had motor car crash (55.30%), while motor cycle crash was the second mechanism of trauma (21.40%), run over was the third This agrees with several studies conducted on trauma epidemiology, where the majority of cases were due to road side collisions. Payal et al had found that 72% (n=150) were due to road side accidents, followed by fall from height 15% (n=31).…”

Section: Discussionsupporting

confidence: 89%

“…Regarding the outcome of patients in the Our study showed (18.4%) mortality rate ( Figure 1) which higher than Pfeifer et al, in which mortality rate in polytrauma patients (6.4%) and also higher than Mica et al, in which mortality rate was (9.6%) and in Dijkink et al study mortality rate (10%). 1,[16][17][18] Higher mortality rate of our study maybe due to we compare with specialized trauma center which highly prepared and about ICU admission, our study showed (44.7%) ( Figure 1) which agree with Dijkink et al, in which ICU admission percentage (47.3%). 18 The study demonstrated a need to improve overall ATLS compliance at our institution.…”

Section: Discussionsupporting

confidence: 87%

“…1,[16][17][18] Higher mortality rate of our study maybe due to we compare with specialized trauma center which highly prepared and about ICU admission, our study showed (44.7%) ( Figure 1) which agree with Dijkink et al, in which ICU admission percentage (47.3%). 18 The study demonstrated a need to improve overall ATLS compliance at our institution.…”

Section: Discussionsupporting

confidence: 87%

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Assessment of management of polytrauma patients in the emergency department in Suez Canal University hospital

et al. 2019

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Egypt is higher several times due to under-reporting and misclassification. 1 The Egyptian Ministry of Health estimated that 24,222 deaths, 127,216 hospitalizations and 847,912 disability-adjusted life years occurred due to ABSTRACT Background: Trauma is a serious global health problem, it is the fifth leading cause of significant disability and is still the most frequent cause of death in the first four decades of life, accounting for approximately one in 10 deaths worldwide. Methods: This study is cross sectional prospective study was conducted to evaluate assessment of management of patients according to the advanced trauma life support guideline in Emergency Department at Suez Canal University Hospital. All patients (n=103) were subjected to baseline assessment by history, clinical examination and investigations. The patients were followed up and recorded till the full assessment was done and the decision was made and the fate of the patient was recorded. Results: The majority of the studied patient had motor car crash (55.30%), while motor cycle crash was the second mechanism of trauma (21.40%), run over was the third mechanism (14.60%). Airway management was done (95.1%), cervical spine kept immobilized only in (71.8%). Blood pressure was measured in (97.1%) and 2ry survey assessment, head to toe examination (78.6%), while AMPLE history was taken in minority of cases percentage (33%). Finally majority of patients was admitted in ICU (44.70%), followed by 18.40% of the studied patient died and less than (2%) discharged from the ER. Conclusions: ATLS protocols provide a common framework and organized approach during polytrauma patient's management. Also, it has been shown to improve outcomes so we should enhance its application in our hospital.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 87%

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Assessment of management of polytrauma patients in the emergency department in Suez Canal University hospital

et al. 2019

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“…The innate immune response after severe tissue trauma or life-threatening multiple injury (polytrauma) results in a multi-faceted systemic disease with a complex and heterogeneous, although mainly compartmentalized, response 6–8 . To cover the organ systems most frequently affected by severe trauma—the head, chest and abdomen (in descending prevalence) 9,10 —this Review addresses mainly those systems, plus the endothelium as a ‘meta-organ’, and their interrelated changes in innate immunity after trauma.…”

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confidence: 99%

Innate immune responses to trauma

2018

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Trauma can affect any individual at any location and at any time over a lifespan. The disruption of macrobarriers and microbarriers induces instant activation of innate immunity. The subsequent complex response, designed to limit further damage and induce healing, also represents a major driver of complications and fatal outcome after injury. This Review aims to provide basic concepts about the posttraumatic response and is focused on the interactive events of innate immunity at frequent sites of injury: the endothelium at large, and sites within the lungs, inside and outside the brain and at the gut barrier.

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“…rauma is one of the major causes of death in people aged under 46 years in the United States (Rees et al 2015), Japan (Nagata et al 2018), and South Africa (Moller et al 2018). The quality of care for patients with trauma affects their survival rate (Dijkink et al 2018). Appropriate education can help students identify threats to patient's safety in trauma situations (Cohen et al 2018).…”

Section: Introductionmentioning

confidence: 99%

Prehospital Trauma Management: Evaluation of a New Designed Smartphone Application

Balajelini

Ghezeljeh

2018

JCCNC

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Background: Regarding the undeniable role of nurses in caring for patients with trauma, a suitable method is required for the education of nursing students to meet their needs. In this study, first we designed an educational smartphone application for pre-hospital trauma management and then nursing students evaluated its usefulness. Methods: This applied study has a cross-sectional design and conducted to develop a mobile application. A total of 41 undergraduate nursing students participated in this study. They were selected through the census method from Iran University of Medical Sciences in 2018. The educational content of the application was developed based on the available standard skills required for prehospital trauma management. The study sample first received routine education. Then they used the application to handle and manage care for traumatic patients for one month. The students' satisfaction with the application was measured using a software called application satisfaction questionnaire. The obtained data were analyzed by descriptive statistics in SPSS V. 21. Results: After designing the application, 97.6% of the students reported that the classification of data in the application was appropriate. From their point of view (92.7%), the application also provided the required information for the appropriate patient's care in trauma situations. All students reported that the application, its links to web pages, movies, texts, and images were easy to use. About 95% of the students reported that graphic components, colors, and moving between pages were easy. Most were satisfied with the application and recommended its use to other undergraduate nursing students. The majority of them (80.5%) used the application consistently and suggested (80.5%) that the same application should be prepared for other courses. Conclusion: The application was reported to be easy to use for trauma management and students were generally satisfied. Therefore, it can be used to facilitate the educational process and help students learn at any time and place.

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Polytrauma patients in the Netherlands and the USA: A bi-institutional comparison of processes and outcomes of care

Cited by 16 publications

References 34 publications

Assessment of management of polytrauma patients in the emergency department in Suez Canal University hospital

Assessment of management of polytrauma patients in the emergency department in Suez Canal University hospital

Innate immune responses to trauma

Prehospital Trauma Management: Evaluation of a New Designed Smartphone Application

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