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Patientensicherheit bei differenzierter (innerklinischer) Schockraumaktivierung für Schwerverletzte

BACKGROUND AND OBJECTIVE: Providing trauma services demands high personnel resources and structural costs. The goal of this study was to show if the assignment of trauma patients to a defined A or B resuscitation room treatment as a modified management concept is safe and feasible. MATERIAL AND METH...

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Autores principales: Hagel, S., Liedtke, K. R., Bax, S., Wailke, S., Klüter, T., Behrendt, P., Franke, G. M., Seekamp, A., Langguth, P., Balandin, A., Grünewald, M., Schunk, D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Medizin 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9827437/
https://www.ncbi.nlm.nih.gov/pubmed/36622382
http://dx.doi.org/10.1007/s00113-022-01279-5
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author Hagel, S.
Liedtke, K. R.
Bax, S.
Wailke, S.
Klüter, T.
Behrendt, P.
Franke, G. M.
Seekamp, A.
Langguth, P.
Balandin, A.
Grünewald, M.
Schunk, D.
author_facet Hagel, S.
Liedtke, K. R.
Bax, S.
Wailke, S.
Klüter, T.
Behrendt, P.
Franke, G. M.
Seekamp, A.
Langguth, P.
Balandin, A.
Grünewald, M.
Schunk, D.
author_sort Hagel, S.
collection PubMed
description BACKGROUND AND OBJECTIVE: Providing trauma services demands high personnel resources and structural costs. The goal of this study was to show if the assignment of trauma patients to a defined A or B resuscitation room treatment as a modified management concept is safe and feasible. MATERIAL AND METHODS: Between May 2020 and January 2021, all resuscitation room trauma patients were included in this single center prospective observational study. All patients admitted to the resuscitation room underwent a classification according to the German S3 guidelines grade of recommendation GoR A and GoR B in polytrauma and the status of the ABCDE sequence to an A and B resuscitation room. The classification was performed by the senior consultant on call via telephone after consultation and discussion of clinical findings. RESULTS: All 135 resuscitation room patients were included in the study of whom 42 trauma patients were assigned to the A resuscitation room (A-SR) and 93 were assigned to the B resuscitation room (B-SR). The comparison of the two groups showed that patients in the A‑SR group are more likely to be accompanied by a prehospital emergency physician (80.5%) than patients in the B‑SR group (55.5%). Patients in the B‑SR group showed a significantly higher Glasgow coma scale (GCS). Using the eFAST emergency ultrasound protocol, 2.4% of the A‑SR and 4.3% of the B‑SR patients had trauma-associated pathologies, 26% of the A‑SR and only 3.2% of the B‑SR patients had to be admitted to the ICU, 21.4% of the A‑SR and 1% of the B‑SR patients died within 30 days after trauma. The injury severity scores (ISS) of the A‑SR patients were significantly higher than in the B‑SR group (ISS 28.3 vs. 6.8). CONCLUSION: The study confirmed that the assignment by the emergency department consultant according to the German S3 guideline in combination with the ABCDE sequence into resuscitation room A or B treatment is feasible, does not compromise the quality of care and is efficient in the use of the personnel resources.
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spelling pubmed-98274372023-01-09 Patientensicherheit bei differenzierter (innerklinischer) Schockraumaktivierung für Schwerverletzte Hagel, S. Liedtke, K. R. Bax, S. Wailke, S. Klüter, T. Behrendt, P. Franke, G. M. Seekamp, A. Langguth, P. Balandin, A. Grünewald, M. Schunk, D. Unfallchirurgie (Heidelb) Originalien BACKGROUND AND OBJECTIVE: Providing trauma services demands high personnel resources and structural costs. The goal of this study was to show if the assignment of trauma patients to a defined A or B resuscitation room treatment as a modified management concept is safe and feasible. MATERIAL AND METHODS: Between May 2020 and January 2021, all resuscitation room trauma patients were included in this single center prospective observational study. All patients admitted to the resuscitation room underwent a classification according to the German S3 guidelines grade of recommendation GoR A and GoR B in polytrauma and the status of the ABCDE sequence to an A and B resuscitation room. The classification was performed by the senior consultant on call via telephone after consultation and discussion of clinical findings. RESULTS: All 135 resuscitation room patients were included in the study of whom 42 trauma patients were assigned to the A resuscitation room (A-SR) and 93 were assigned to the B resuscitation room (B-SR). The comparison of the two groups showed that patients in the A‑SR group are more likely to be accompanied by a prehospital emergency physician (80.5%) than patients in the B‑SR group (55.5%). Patients in the B‑SR group showed a significantly higher Glasgow coma scale (GCS). Using the eFAST emergency ultrasound protocol, 2.4% of the A‑SR and 4.3% of the B‑SR patients had trauma-associated pathologies, 26% of the A‑SR and only 3.2% of the B‑SR patients had to be admitted to the ICU, 21.4% of the A‑SR and 1% of the B‑SR patients died within 30 days after trauma. The injury severity scores (ISS) of the A‑SR patients were significantly higher than in the B‑SR group (ISS 28.3 vs. 6.8). CONCLUSION: The study confirmed that the assignment by the emergency department consultant according to the German S3 guideline in combination with the ABCDE sequence into resuscitation room A or B treatment is feasible, does not compromise the quality of care and is efficient in the use of the personnel resources. Springer Medizin 2023-01-09 2023 /pmc/articles/PMC9827437/ /pubmed/36622382 http://dx.doi.org/10.1007/s00113-022-01279-5 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access Dieser Artikel wird unter der Creative Commons Namensnennung 4.0 International Lizenz veröffentlicht, welche die Nutzung, Vervielfältigung, Bearbeitung, Verbreitung und Wiedergabe in jeglichem Medium und Format erlaubt, sofern Sie den/die ursprünglichen Autor(en) und die Quelle ordnungsgemäß nennen, einen Link zur Creative Commons Lizenz beifügen und angeben, ob Änderungen vorgenommen wurden. Die in diesem Artikel enthaltenen Bilder und sonstiges Drittmaterial unterliegen ebenfalls der genannten Creative Commons Lizenz, sofern sich aus der Abbildungslegende nichts anderes ergibt. Sofern das betreffende Material nicht unter der genannten Creative Commons Lizenz steht und die betreffende Handlung nicht nach gesetzlichen Vorschriften erlaubt ist, ist für die oben aufgeführten Weiterverwendungen des Materials die Einwilligung des jeweiligen Rechteinhabers einzuholen. Weitere Details zur Lizenz entnehmen Sie bitte der Lizenzinformation auf http://creativecommons.org/licenses/by/4.0/deed.de (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Originalien
Hagel, S.
Liedtke, K. R.
Bax, S.
Wailke, S.
Klüter, T.
Behrendt, P.
Franke, G. M.
Seekamp, A.
Langguth, P.
Balandin, A.
Grünewald, M.
Schunk, D.
Patientensicherheit bei differenzierter (innerklinischer) Schockraumaktivierung für Schwerverletzte
title Patientensicherheit bei differenzierter (innerklinischer) Schockraumaktivierung für Schwerverletzte
title_full Patientensicherheit bei differenzierter (innerklinischer) Schockraumaktivierung für Schwerverletzte
title_fullStr Patientensicherheit bei differenzierter (innerklinischer) Schockraumaktivierung für Schwerverletzte
title_full_unstemmed Patientensicherheit bei differenzierter (innerklinischer) Schockraumaktivierung für Schwerverletzte
title_short Patientensicherheit bei differenzierter (innerklinischer) Schockraumaktivierung für Schwerverletzte
title_sort patientensicherheit bei differenzierter (innerklinischer) schockraumaktivierung für schwerverletzte
topic Originalien
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9827437/
https://www.ncbi.nlm.nih.gov/pubmed/36622382
http://dx.doi.org/10.1007/s00113-022-01279-5
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