Shang-Lin Hsieh1, Chien-Han Hsiao2, Wen-Chu Chiang3, Sang Do Shin4, Sabariah Faizah Jamaluddin5, Do Ngoc Son6, Ki Jeong Hong4, Sun Jen-Tang7, Weide Tsai1, Ding-Kuo Chien1, Wen-Han Chang1, Tse-Hao Chen8. 1. Department of Emergency Medicine, Mackay Memorial Hospital, Taipei, Taiwan. 2. Department of Linguistics, Indiana University, Bloomington, IN, USA. 3. Department of Emergency Medicine, Yunlin Branch, National Taiwan University Hospital, Douliu City, Taiwan. 4. Department of Emergency Medicine, Seoul National University College of Medicine and Hospital, Seoul, Korea. 5. Faculty of Medicine, Universiti Teknologi MARA, Shah Alam, Malaysia. 6. Center for Emergency Medicine, Bach Mai Hospital, Hanoi, Vietnam. 7. Department of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan. 8. Department of Emergency Medicine, Mackay Memorial Hospital, Taipei, Taiwan. 99311121@gms.tcu.edu.tw.
Abstract
PURPOSE: This study examined the association between lapsed time and trauma patients, suggesting that a shorter time to definitive care leads to a better outcome. METHODS: We used the Pan-Asian Trauma Outcome Study registry to analyze a retrospective cohort of 963 trauma patients who received surgical intervention or transarterial embolization within 2 h of injury in Asian countries between January 2016 and December 2020. Exposure measurement was recorded every 30 min from injury to definitive care. The 30 day mortality rate and functional outcome were studied using the Modified Rankin Scale ratings of 0-3 vs 4-6 for favorable vs poor functional outcomes, respectively. Subgroup analyses of different injury severities and patterns were performed. RESULTS: The mean time from injury to definitive care was 1.28 ± 0.69 h, with cases categorized into the following subgroups: < 30, 30-60, 60-90, and 90-120 min. For all patients, a longer interval was positively associated with the 30 day mortality rate (p = 0.053) and poor functional outcome (p < 0.05). Subgroup analyses showed the same association in the major trauma (n = 321, p < 0.05) and torso injury groups (n = 388, p < 0.01) with the 30 day mortality rate and in the major trauma (p < 0.01), traumatic brain injury (n = 741, p < 0.05), and torso injury (p < 0.05) groups with the poor functional outcome. CONCLUSION: Even within 2 h, a shorter time to definitive care is positively associated with patient survival and functional outcome, especially in the subgroups of major trauma and torso injury.
PURPOSE: This study examined the association between lapsed time and trauma patients, suggesting that a shorter time to definitive care leads to a better outcome. METHODS: We used the Pan-Asian Trauma Outcome Study registry to analyze a retrospective cohort of 963 trauma patients who received surgical intervention or transarterial embolization within 2 h of injury in Asian countries between January 2016 and December 2020. Exposure measurement was recorded every 30 min from injury to definitive care. The 30 day mortality rate and functional outcome were studied using the Modified Rankin Scale ratings of 0-3 vs 4-6 for favorable vs poor functional outcomes, respectively. Subgroup analyses of different injury severities and patterns were performed. RESULTS: The mean time from injury to definitive care was 1.28 ± 0.69 h, with cases categorized into the following subgroups: < 30, 30-60, 60-90, and 90-120 min. For all patients, a longer interval was positively associated with the 30 day mortality rate (p = 0.053) and poor functional outcome (p < 0.05). Subgroup analyses showed the same association in the major trauma (n = 321, p < 0.05) and torso injury groups (n = 388, p < 0.01) with the 30 day mortality rate and in the major trauma (p < 0.01), traumatic brain injury (n = 741, p < 0.05), and torso injury (p < 0.05) groups with the poor functional outcome. CONCLUSION: Even within 2 h, a shorter time to definitive care is positively associated with patient survival and functional outcome, especially in the subgroups of major trauma and torso injury.
Authors: Ching-Yi Shen; Chien-Han Hsiao; Weide Tsai; Wen-Han Chang; Tse-Hao Chen Journal: Int J Environ Res Public Health Date: 2021-03-11 Impact factor: 3.390
Authors: Falco Hietbrink; Shahin Mohseni; Diego Mariani; Päl Aksel Naess; Cristina Rey-Valcárcel; Alan Biloslavo; Gary A Bass; Susan I Brundage; Henrique Alexandrino; Ruben Peralta; Luke P H Leenen; Tina Gaarder Journal: Eur J Trauma Emerg Surg Date: 2022-07-07 Impact factor: 2.374