Geriatric Polytrauma SOP

N/ACompletedNCT03319381

University of Zurich311 enrolled

Overview

This study investigated whether there were improvements in the in-hospital mortality, infection rate, and rate of palliative care among geriatric trauma patients after the implementation of new standard operating procedures (SOPs) for the resuscitation room. These new SOPs, comprising early whole-body computed tomography (CT), damage control surgery, and the use of goal-directed coagulation management, were designed for severely injured adult trauma patients

This study involved the analysis of a prospective single-centre database. Patients admitted via the resuscitation room with need for intensive care treatment after the resuscitation room phase were included and compared before the implementation of the new SOPs (between 1 January, 2000 and 31 December, 2006) and after their implementation in 2009 (between 1 January, 2010 and 31 December, 2012) of our level-I trauma centre.

Study Type

OBSERVATIONAL

Enrollment

311

Conditions

Geriatrics

Interventions

Following new SOPsBEHAVIORAL

The new SOPs comprised early whole-body CT, damage control surgery, and the use of goal-directed coagulation management and are based on the ATLS® concept, which was the strictly followed protocol before implementation of the new SOPs

Eligibility

Sex: ALLMin age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: Inclusion in internal trauma database Exclusion Criteria: Comprised age \< 65 years, ISS \< 9, and transfers from other hospitals.

Outcomes

Primary Outcomes

In-hospital mortality

Time frame: 30 days

Secondary Outcomes

Infections

Time frame: 30 days

Rate of palliative care

Time frame: 30 days

Data from ClinicalTrials.gov

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