The Role of Prehospital eFAST in Accelerating Time to Diagnostics or Definitive Treatment in the Emergency Department
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 199
- 试验地点
- 1
- 主要终点
- Time to definitive diagnostics or treatment
研究概览
简要总结
Actual literature has demonstrated that prehospital extended focused assessment sonography for trauma (eFAST) could impact on logistic and treatment decisions such as mode of transportation and choice of hospital destination.
However, there are no data with regard to in-hospital effects of a positive prehospital eFAST.
The main objective of this study was to evaluate the effects of prehospital eFAST driven decisions on in hospital time-to-definitive diagnostics or time-to definitive treatment, whichever came first, in a level 1 trauma center.
The goal is to define if this information could have a role in prioritizing patients' access to care in a population of abdominal trauma patients with A-AIS > 1 and a documented liver or spleen injury.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients admitted to emergency department with a ICD-9-CM diagnosis of traumatic liver or spleen injury (codes 8640x, 8641x, 8650x, 8651x)
- •Abdominal AIS ≥ 2
- •CT scan or operating theatre admission performed within 180 minutes from ED admission
排除标准
- •Death before CT scan or OR/Angio suite admission (missing primary outcome measure)
- •Transferred to other hospitals before CT scan or operating room admission
- •Missing data
结局指标
主要结局
Time to definitive diagnostics or treatment
时间窗: 180 minutes
Time from the ED arrival to CT scan imaging or surgical intervention (whichever came first)
次要结局
- Sensitivity and specificity of prehospital eFAST(240 minutes)
- Prehospital time(240 minutes)