Impact on process of Trauma care delivery 1 year after the introduction of a Trauma program in a provincial trauma center. Discussion.
Annual Meeting of the American Association for the Surgery of Trauma Association of Canada. Baltimore, MD, USA, 1998/09/24.
Trauma care delivery in Canada, even in major trauma centers, usually devolves to the most involved service.
For patients with multisystem injuries, this is not always optimal and aspects of care outside the domain of the primary service are apt to be overlooked.
Trauma care is necessarily multidisciplinary, and to be optimal, appropriate integration of the care process and prioritization are required.
The purpose of this study was to examine the impact on care in a busy provincial trauma center, after the introduction of a trauma program with a clinical trauma service, revised trauma protocols, and a dedicated trauma unit.
Data were collected prospectively before and during the introduction of the program.
Aspects of care studied included trauma patient volume, compliance with trauma team activation and trauma consultation protocols, delays to the operating room for hypotension or open fractures, delays in disposition to the unit, average length of stay, and mortality based on Trauma and Injury Severity Score analysis.
Data are presented summarized by quarter, one before and four after the introduction of the program.
Variance tracking was introduced before the last quarter.
Differences between preprogram and postprogram performance were assessed by using analysis of variance (asterisks indicates p<0.05 compared with preprogram performance).
Trauma unit average length of stay decreased from 10.15 days initially to 9.66 and 9. (...)
Mots-clés Pascal : Traumatologie, Service hospitalier, Politique sanitaire, Traitement, Traumatisme, Pronostic, Epidémiologie, Canada, Amérique du Nord, Amérique, Homme
Mots-clés Pascal anglais : Traumatology, Hospital ward, Health policy, Treatment, Trauma, Prognosis, Epidemiology, Canada, North America, America, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0317623
Code Inist : 002B30A05. Création : 16/11/1999.