Key performance indicators for management of severe traumatic brain injury by emergency medical services : P24
Details
Serval ID
serval:BIB_ED73BDEA94CD
Type
Inproceedings: an article in a conference proceedings.
Publication sub-type
Poster: Summary – with images – on one page of the results of a researche project. The summaries of the poster must be entered in "Abstract" and not "Poster".
Collection
Publications
Institution
Title
Key performance indicators for management of severe traumatic brain injury by emergency medical services : P24
Title of the conference
Annual Meeting Swiss Society of Anaesthesiology and Resuscitation
Address
Forum Fribourg, 30.10.-1.11. 2008
ISBN
1424-7860
Publication state
Published
Issued date
2008
Peer-reviewed
Oui
Volume
138
Series
Swiss Medical Weekly
Pages
15S-16S
Language
english
Notes
Introduction: The prehospital period for traumatic brain injured patients is critical due to the incidence of secondary brain injuries. Key performance indicators for the management of these patients have been identified and we aimed to report performance of out-ofhospital emergency medical services (OHEMS) and mortality in western Switzerland.
Methods: Patients having sustained traumatic brain injury with an Abbreviated Injury Score of Head (HAIS) >3 brought to the University Hospitals of Geneva (HUG), Lausanne (CHUV) and the Hospital of
Sion between June 2007 and March 2008 were prospectively included. Demographics, timing, OHEMS skill level, hypoxia and hyperventilation were analyzed. Key performance indicators were defined (table). Outcome indicator was mortality until 3 months. We used standard descriptive statistics.
Results: 229 patients were identified by OHEMS; 158 fulfilled inclusion criteria and were included consecutively.
Key performance indicators HUG CHUV Sion:
Indirect admission (<10%) 11/53 (20.75%) (HUG) - 14/72 (19.4%) (CHUV) - 3/20 (15%) (Sion)
Time from call to 1st CT 25/37 (67.6%) (HUG) - 28/54 (51.9%) (CHUV) - 5/15 (33.3%)
<90 min* (Sion)
Hypoxia* (SpO2 <90%) 1/42 (2.4%) (HUG) - 3/55 (5.5%) (CHUV) - 0/16 (0%) (Sion)
Hyperventilation* 0/28 (0%) (HUG) - 8/45 (17.8%) (CHUV) - 0/12 (0%)
(PaCO2 <30 mm Hg) (Sion)
* direct admission, parameters at hospital admission
Conclusion: A number of modifiable key performance indicators were not met in the western part of Switzerland. Differences in management and timing were noted between centres. Further training
is necessary to improve our trauma system and to influence mortality.
Methods: Patients having sustained traumatic brain injury with an Abbreviated Injury Score of Head (HAIS) >3 brought to the University Hospitals of Geneva (HUG), Lausanne (CHUV) and the Hospital of
Sion between June 2007 and March 2008 were prospectively included. Demographics, timing, OHEMS skill level, hypoxia and hyperventilation were analyzed. Key performance indicators were defined (table). Outcome indicator was mortality until 3 months. We used standard descriptive statistics.
Results: 229 patients were identified by OHEMS; 158 fulfilled inclusion criteria and were included consecutively.
Key performance indicators HUG CHUV Sion:
Indirect admission (<10%) 11/53 (20.75%) (HUG) - 14/72 (19.4%) (CHUV) - 3/20 (15%) (Sion)
Time from call to 1st CT 25/37 (67.6%) (HUG) - 28/54 (51.9%) (CHUV) - 5/15 (33.3%)
<90 min* (Sion)
Hypoxia* (SpO2 <90%) 1/42 (2.4%) (HUG) - 3/55 (5.5%) (CHUV) - 0/16 (0%) (Sion)
Hyperventilation* 0/28 (0%) (HUG) - 8/45 (17.8%) (CHUV) - 0/12 (0%)
(PaCO2 <30 mm Hg) (Sion)
* direct admission, parameters at hospital admission
Conclusion: A number of modifiable key performance indicators were not met in the western part of Switzerland. Differences in management and timing were noted between centres. Further training
is necessary to improve our trauma system and to influence mortality.
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15/10/2009 8:09
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