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  1. Trauma care regionalization : A process-outcome evaluation. Discussion.

    Article, Communication - En anglais

    Annual Meeting of the American Association for the Surgery of Trauma and the Trauma Association of Canada. Baltimore, MD, USA, 1998/09/24.


    Regionalization of trauma care services in our region was initiated in 1993 with the designation of four tertiary trauma centers.

    The process continued in 1995 with the implementation of patient triage and transfer protocols.

    Since 1995, the network of trauma care has been expanded with the designation of 33 secondary, 30 primary, and 32 stabilization trauma centers.

    In addition, during this period emergency medical personnel have been trained to assess and triage trauma victims within minimal prehospital time.

    The objective of the present study was to evaluate the impact of trauma care regionalization on the mortality of major trauma patients.


    This was a prospective study in which patients were entered at the time of injury and were followed to discharge from the acute-care hospital.

    The patients were identified from the Quebec Trauma Registry, a review of the records of acute-care hospitals that treat trauma, and records of the emergency medical services in the region.

    The study sample consisted of all patients fulfilling the criteria of a major trauma, defined as death, or Injury Severity Score (ISS)>12, or Pre-Hospital Index>3, or two or more injuries with Abbreviated Injury Scale scores>2, or hospital stay of more than 3 days.

    Data collection took place between April 1,1993, and March 31,1998. (...)

    Mots-clés Pascal : Traumatisme, Traumatologie, Service santé, Pronostic, Evaluation, Processus, Régional, Prospective, Etude cohorte, Homme

    Mots-clés Pascal anglais : Trauma, Traumatology, Health service, Prognosis, Evaluation, Process, Regional, Prospective, Cohort study, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0240638

    Code Inist : 002B30A04A. Création : 16/11/1999.