Journal article
Authors list: Heinrich, Martin; Lany, Matthias; Anastasopoulou, Lydia; Biehl, Christoph; Szalay, Gabor; Brenck, Florian; Heiss, Christian
Publication year: 2020
Journal: Journal of Clinical Medicine
Volume number: 9
Issue number: 8
eISSN: 2077-0383
Open access status: Gold
DOI Link: https://doi.org/10.3390/jcm9082516
Publisher: MDPI
Abstract:
Introductio: Although management of severely injured patients in the Trauma Resuscitation Unit (TRU) follows evidence-based guidelines, algorithms for treatment of the slightly injured are limited. Methods: All trauma patients in a period of eight months in a Level I trauma center were followed. Retrospective analysis was performed only in patients >= 18 years with primary TRU admission, Abbreviated Injury Scale (AIS) <= 1, Maximum Abbreviated Injury Scale (MAIS) <= 1 and Injury Severity Score (ISS) <= 3 after treatment completion and >= 24 h monitoring in the units. Cochran's Q-test was used for the statistical evaluation of AIS and ISS changes in units. Results: One hundred and twelve patients were enrolled in the study. Twenty-one patients (18.75%) reported new complaints after treatment completion in the TRU. AIS rose from the Intermediate Care Unit (IMC) to Normal Care Unit (NCU) 6.2% and ISS 6.9%. MAIS did not increase >2, and no intervention was necessary for any patient. No correlation was found between computed tomography (CT) diagnostics in TRU and AIS change. Conclusions: The data suggest that AIS, MAIS and ISS did not increase significantly in patients without a severe injury during inpatient treatment, regardless of the type of CT diagnostics performed in the TRU, suggesting that monitoring of these patients may be unnecessary.
Citation Styles
Harvard Citation style: Heinrich, M., Lany, M., Anastasopoulou, L., Biehl, C., Szalay, G., Brenck, F., et al. (2020) Evidence of Prolonged Monitoring of Trauma Patients Admitted via Trauma Resuscitation Unit without Primary Proof of Severe Injuries, Journal of Clinical Medicine, 9(8), Article 2516. https://doi.org/10.3390/jcm9082516
APA Citation style: Heinrich, M., Lany, M., Anastasopoulou, L., Biehl, C., Szalay, G., Brenck, F., & Heiss, C. (2020). Evidence of Prolonged Monitoring of Trauma Patients Admitted via Trauma Resuscitation Unit without Primary Proof of Severe Injuries. Journal of Clinical Medicine. 9(8), Article 2516. https://doi.org/10.3390/jcm9082516
Keywords
abbreviated injury scale; COMPUTED-TOMOGRAPHY; injury severity; injury severity score; MAJOR TRAUMA; MISSED INJURIES; SCORE; trauma resuscitation unit
