Journal ArticleDOI
Outcome of Hospitalized Injured Patients After Institution of a Trauma System in an Urban Area
Richard J. Mullins,Judith Veum-Stone,Mark Helfand,Melanie J. Zimmer-Gembeck,Jerris R. Hedges,Patricia Southard,Donald D. Trunkey +6 more
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Establishment of a trauma system shifted the more seriously injured patients to level I trauma centers, where there was a significant reduction in the adjusted death rate.Abstract:
Objective. —To determine if risk of death for hospitalized injured patients changes when an urban trauma system is implemented. Design. —An analysis of the risk of death in hospitalized injured patients in 1984 and 1985 (pretrauma system), 1986 and 1987 (early trauma system), and 1990 and 1991 (established trauma system) using hospital discharge abstract data. Setting. —A total of 18 acute care hospitals in the four-county area encompassing Portland, Ore. Patients. —A cohort of 70 350 hospitalized patients with at least one discharge diagnosis indicating injury. Main Outcome Measure. —Death during hospitalization. Results. —After the trauma system was established, 77% of patients in the region with an Injury Severity Score (ISS) of 16 or greater were admitted to level I trauma centers. More than 72% of patients with an ISS less than 16 were hospitalized in nontrauma centers. Risk of death for injured patients hospitalized at level I trauma centers declined after the trauma system was established (odds ratio, 0.65; 95% confidence interval, 0.51 to 0.81). Patients who died in trauma centers after institution of the trauma system were younger and had more severe injuries, and the majority died within 1 day of admission, whereas patients who died in nontrauma centers died a median of 5 days after admission. Conclusion. —Establishment of a trauma system shifted the more seriously injured patients to level I trauma centers, where there was a significant reduction in the adjusted death rate. ( JAMA . 1994;271:1919-1924)read more
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European Resuscitation Council Guidelines for Resuscitation 2010 Section 4 Adult advanced life support
Charles D. Deakin,Jerry P. Nolan,Jasmeet Soar,Kjetil Sunde,Rudolph W. Koster,Gary B. Smith,Gavin D. Perkins +6 more
TL;DR: Cardiothoracic anesthetic, Southampton General Hospital, Southampton, UK Anesthesia and Intensive Care Medicine, Royal United Hospital, Bath, UK Anaesthesia and intensive care medicine, Southmead Hospital, Bristol, UK Surgical ICU, Oslo University Hospital Ulleval, Oslo, Norway Department of Cardiology, Academic Medical Center, Amsterdam, The Netherlands Critical Care and Resuscitation, University of Warwick, Warwick Medical School, Warwick, UK
Journal ArticleDOI
European Resuscitation Council Guidelines for Resuscitation 2010 Section 1. Executive summary.
Jerry P. Nolan,Jasmeet Soar,David Zideman,Dominique Biarent,Leo Bossaert,Charles D. Deakin,Rudolph W. Koster,Jonathan Wyllie,Bernd W. Böttiger +8 more
TL;DR: This book discusses Anaesthesia and Intensive Care Medicine, neonatology and Paediatrics, and any Anasthesiologie und Operative Intensivmedizin, which may apply to these fields.
Journal ArticleDOI
European Resuscitation Council and European Society of Intensive Care Medicine Guidelines for Post-resuscitation Care 2015: Section 5 of the European Resuscitation Council Guidelines for Resuscitation 2015.
Jerry P. Nolan,Jasmeet Soar,Alain Cariou,Tobias Cronberg,Véronique Moulaert,Charles D. Deakin,Bernd W. Böttiger,Hans Friberg,Kjetil Sunde,Claudio Sandroni +9 more
TL;DR: In this paper, the authors present a review of the state of the art in the field of anaesthesia and intensive care medicine at the University of Oslo and the Norwegian Department of Anesthesia and Intensive Care Medicine at the Norwegian National Institute of Emergencies and Critical Care.
Journal ArticleDOI
A systematic review and meta-analysis comparing outcome of severely injured patients treated in trauma centers following the establishment of trauma systems.
Brian G. Celso,Joseph J. Tepas,Barbara Langland-Orban,Etienne E. Pracht,Linda Papa,Lawrence Lottenberg,Lewis M. Flint +6 more
TL;DR: A systematic literature review of all population-based studies that evaluated trauma system performance showed a 15% reduction in mortality in favor of the presence of a trauma system.
Journal ArticleDOI
European Resuscitation Council and European Society of Intensive Care Medicine 2015 guidelines for post-resuscitation care.
Jerry P. Nolan,Jerry P. Nolan,Jasmeet Soar,Alain Cariou,Tobias Cronberg,V.R.M.P. Moulaert,Charles D. Deakin,Bernd W. Böttiger,Hans Friberg,Kjetil Sunde,Claudio Sandroni +10 more
TL;DR: These post-resuscitation care guidelines, which are based on the 2015 International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations, place greater emphasis on rehabilitation after survival from a cardiac arrest.
References
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Howard R. Champion,William J. Sacco,Wayne S. Copes,Donald S. Gann,Thomas A. Gennarelli,Maureen E. Flanagan +5 more
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Investigation of the Relationship Between Volume and Mortality for Surgical Procedures Performed in New York State Hospitals
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