Trauma outcome improves following the advanced trauma life support program in a developing country. Discussion.
American association for the surgery of trauma. Annual session. Louisville KY (USA), 1992/09/17.
Trauma outcome variables before and after the institution of the Advanced Trauma Life Support (ATLS) program were compared for the largest hospital in Trinidad and Tobago from July 1981 through December 1985 (pre-ATLS) and from January 1986 to June 1990 (post-ATLS).
A total of 199 physicians were ATLS trained by June 1990.
Outcome data were analyzed for all dead or severely injured patients (ISS >=16; n=413 pre-ATLS and n=400 post-ATLS).
Trauma mortality decreased post-ATLS (134 of 400 vs. 279 of 413) throughout the hospital, including the ICU (13.6% post-ATLS ICU mortality vs. 55.2% pre-ATLS).
The odds of dying from trauma increased with age (1.02 for each year), ISS score (1.24 for each ISS increment), and blunt injury, both pre-ATLS and post-ATLS.
Mots-clés Pascal : Traumatisme, Homme, Etude comparative, Protocole thérapeutique, Pronostic, Mortalité, Morbidité, Epidémiologie
Mots-clés Pascal anglais : Trauma, Human, Comparative study, Therapeutic protocol, Prognosis, Mortality, Morbidity, Epidemiology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 93-0630350
Code Inist : 002B30A03B. Création : 199406.