Time to definitive care within major trauma networks in England

Background Significant mortality improvements have been reported following the implementation of English trauma networks. Timely transfer of seriously injured patients to definitive care is a key indicator of trauma network performance. This study evaluated timelines from emergency service (EMS) act...

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Veröffentlicht in:BJS Open 2020-10, Vol.4 (5), p.963-969
Hauptverfasser: Haslam, N. R., Bouamra, O., Lawrence, T., Moran, C. G., Lockey, D. J.
Format: Artikel
Sprache:eng
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Zusammenfassung:Background Significant mortality improvements have been reported following the implementation of English trauma networks. Timely transfer of seriously injured patients to definitive care is a key indicator of trauma network performance. This study evaluated timelines from emergency service (EMS) activation to definitive care between 2013 and 2016. Methods An observational study was conducted on data collected from the UK national clinical audit of major trauma care of patients with an Injury Severity Score above 15. Outcomes included time from EMS activation to: arrival at a trauma unit (TU) or major trauma centre (MTC); to CT; to urgent surgery; and to death. Results Secondary transfer was associated with increased time to urgent surgery (median 7·23 (i.q.r. 5·48–9·28) h versus 4·37 (3·00–6·57) h for direct transfer to MTC; P 
ISSN:2474-9842
2474-9842
DOI:10.1002/bjs5.50316