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Geriatric Polytrauma SOP

Completed
Conditions
Geriatrics
Interventions
Behavioral: Following new SOPs
Registration Number
NCT03319381
Lead Sponsor
University of Zurich
Brief Summary

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

Detailed Description

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.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
311
Inclusion Criteria

Inclusion in internal trauma database

Exclusion Criteria

Comprised age < 65 years, ISS < 9, and transfers from other hospitals.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
SOPFollowing new SOPsTime period 2: 2010-2012, after implementation of the new SOPs
w/o SOPFollowing new SOPsTime period 1: 2000-2006, without new SOPs
Primary Outcome Measures
NameTimeMethod
In-hospital mortality30 days

In-hospital mortality

Secondary Outcome Measures
NameTimeMethod
Rate of palliative care30 days

Rate of palliative care

Infections30 days

Infections

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