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Published on: November 20, 2016
Triage and mortality in 2875 consecutive trauma patients
R Meisler1, A B Thomsen, H Abildstrøm
1Department of Anaesthesia, HOC 4231, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark. rikkemeisler@hotmail.com
Acta Anaesthesiologica Scandinavica
|October 13, 2009
Summary
European trauma systems can improve survival by transferring severely injured patients early to specialized trauma centers. Early intervention is key for reducing mortality in trauma cases.
Area of Science:
- Emergency Medicine
- Trauma Surgery
- Public Health
Background:
- Trauma system research predominantly focuses on the United States.
- Limited data exists on mortality predictors in European trauma patients.
Purpose of the Study:
- To identify factors predicting mortality in European trauma patients.
- To analyze the impact of triage strategies on trauma patient outcomes.
Main Methods:
- Prospective registration of all trauma patients in Eastern Denmark over 12 months.
- Analysis of patient flow, time spent in care, and mortality risk factors.
- Assessment of triage destination and secondary transfers to a level I trauma center.
Main Results:
- 5.5% of 2875 trauma patients died before hospital arrival.
- Severely injured patients (Injury Severity Score >15) had higher mortality if treated at local hospitals versus being transferred to a level I trauma center (38.1% vs. 9.7%).
- Significant mortality risk factors included violence, unconsciousness, hypotension, severe injury, and age.
Conclusions:
- Approximately 50% of trauma deaths occur pre-hospital.
- Early transfer of severely injured patients to specialized trauma care can enhance survival rates.
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