Introduction
Method
Setting
Patients and data collection
Measures
Outcome
Statistics
Results
Year 2000-2005 | Year 2006-2009 | |
---|---|---|
n (%) | n (%) | |
Total patients
| 395 | 256 |
Mean age
| 47.8 | 49.2 |
Mechanism of trauma
| ||
Blunt trauma | 379 (96) | 236 (92) |
Penetrating trauma | 16 (4) | 20 (8) |
Injury characteristics
| ||
Brain injury | 330 (83) | 185 (75) |
Brain injury including other injuries | 66 (16) | 70 (27) |
External cause of injury
| ||
Fall < 3 m | 228 (58) | 158 (62) |
Fall > 3 m | 21 (5) | 22 (9) |
Road and traffic accident | 87 (22) | 55 (21) |
Other | 59 (15) | 21 (8) |
GCS at scene
| ||
3-8 | 232 (58) | 150 (58) |
9-12 | 97 (25) | 57 (23) |
13-15 | 64 (16) | 43 (17) |
Missing | 2 (1) | 5 (2) |
The performed assessment and interventions
Year 2000-2005 | Year 2006-2009 | |
---|---|---|
395 n (%) | 256 n (%) | |
Assessments
| ||
Airway (clear airway) | 247 (63) | 132 (51) |
Breathing (Saturation) | 254 (57) | 171 (67) |
Circulation (BP) | 264 (67) | 161 (63) |
Neurology (GCS) | 385 (97) | 246 (96) |
Documentation of secondary insults (Sat < 90, BP <90) | 80 (21) | 46 (18) |
Interventions
| ||
Intubation on scene | 71 (18) | 49 (19) |
I.V. fluid | 124 (31) | 73 (29) |
Sedation | 239 (61) | 158 (61) |
Direct transportation to level 1 trauma centre
| 201 (51) | 141 (55) |
Outcome
| ||
Length of ICU stay (mean)
| 11.16 days | 8.82 days |
In hospital mortality
| 120 (30) | 75 (29) |
GOS at 3 months
| ||
Favourable (GOS 4–5) | 56 (14) | 15 (6) |
Unfavourable (GOS 1–3) | 339 (86) | 241 (94) |