Key performance indicators for management of severe traumatic brain injury by emergency medical services : P24
Détails
ID Serval
serval:BIB_ED73BDEA94CD
Type
Actes de conférence (partie): contribution originale à la littérature scientifique, publiée à l'occasion de conférences scientifiques, dans un ouvrage de compte-rendu (proceedings), ou dans l'édition spéciale d'un journal reconnu (conference proceedings).
Sous-type
Poster: résume de manière illustrée et sur une page unique les résultats d'un projet de recherche. Les résumés de poster doivent être entrés sous "Abstract" et non "Poster".
Collection
Publications
Institution
Titre
Key performance indicators for management of severe traumatic brain injury by emergency medical services : P24
Titre de la conférence
Annual Meeting Swiss Society of Anaesthesiology and Resuscitation
Adresse
Forum Fribourg, 30.10.-1.11. 2008
ISBN
1424-7860
Statut éditorial
Publié
Date de publication
2008
Peer-reviewed
Oui
Volume
138
Série
Swiss Medical Weekly
Pages
15S-16S
Langue
anglais
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.
Web of science
Création de la notice
15/10/2009 9:09
Dernière modification de la notice
20/08/2019 17:15
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