Pre-hospital and Intra-hospital Temporal Delays in Patients Requiring Emergent Trauma Craniotomy. A 6-year Retrospective Analysis in a Level 1 Trauma Center
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 67
- 主要终点
- Temporal delay between emergency call and the surgical skin incision.
研究概览
简要总结
The investigators aim to retrospectively map the delays in the acute care of traumatic brain injury patients necessitating emergent craniotomies.
详细描述
Despite the high incidence of traumatic brain injury (TBI) and the high numbers of emergent craniotomies for TBI performed worldwide, publications reporting on temporal delays in these patients are very scarce. To the best of the investigators' knowledge, there are only 3 publications providing data on the intra-hospital delay and no publications on pre-hospital delay specifically for TBI patients undergoing emergent craniotomies.
The aim of the present study is to retrospectively map delays between the emergency call of the national emergency telephone dispatch to the hospital's medical emergency service (EC) and the surgical skin incision in emergent TBI craniotomies in the investigators' level 1 trauma center and to propose possible measures to improve performance.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Retrospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •every patient undergoing 1 of 3 surgical procedures ('removal of epidural hematoma'; 'removal of acute subdural hematoma'; and 'decompressive craniectomy'), performed between February 1, 2010 and January 31, 2016, as recorded in the surgical database of our institution.
排除标准
- •who had a delayed clinical or radiological deterioration as a surgical indication;
- •who did not have traumatic brain injury as the origin of the intracranial abnormalities;
- •in whom not all aforementioned temporal or clinical data were readily available from the electronic patient file; and/or
- •who were not admitted via our emergency department.
结局指标
主要结局
Temporal delay between emergency call and the surgical skin incision.
时间窗: From the trauma onset until 24 hours after the trauma onset.
Temporal delay (in minutes) between emergency call of the national emergency telephone dispatch to the hospital's medical emergency service and the surgical skin incision during the emergent craniotomy for traumatic brain injury.
次要结局
- Temporal delay between emergency call and arrival at our emergency department.(From the trauma onset until 24 hours after the trauma onset.)
- Temporal delay between acquisition of the first head CT slice and arrival in the operating room.(From the trauma onset until 24 hours after the trauma onset.)
- Temporal delay between arrival at our emergency department and acquisition of the first head CT slice.(From the trauma onset until 24 hours after the trauma onset.)
- Glasgow Outcome Scale(6 months after the trauma)