PMID- 24526344
OWN - NLM
STAT- MEDLINE
DCOM- 20140918
LR  - 20161125
IS  - 1424-3997 (Electronic)
IS  - 0036-7672 (Linking)
VI  - 144
DP  - 2014 Feb 13
TI  - First results from a Swiss level I trauma centre participating in the UK Trauma 
      Audit and Research Network (TARN): prospective cohort study.
PG  - w13910
LID - 10.4414/smw.2014.13910 [doi]
AB  - QUESTIONS UNDER STUDY: Patient characteristics and risk factors for death of 
      Swiss trauma patients in the Trauma Audit and Research Network (TARN). METHODS: 
      Descriptive analysis of trauma patients (>/=16 years) admitted to a level I trauma 
      centre in Switzerland (September 1, 2009 to August 31, 2010) and entered into 
      TARN. Multivariable logistic regression analysis was used to identify predictors 
      of 30-day mortality. RESULTS: Of 458 patients 71% were male. The median age was 
      50.5 years (inter-quartile range [IQR] 32.2-67.7), median Injury Severity Score 
      (ISS) was 14 (IQR 9-20) and median Glasgow Coma Score (GCS) was 15 (IQR 14-15). 
      The ISS was >15 for 47%, and 14% had an ISS >25. A total of 17 patients (3.7%) 
      died within 30 days of trauma. All deaths were in patients with ISS >15. Most 
      injuries were due to falls <2 m (35%) or road traffic accidents (29%). Injuries 
      to the head (39%) were followed by injuries to the lower limbs (33%), spine (28%) 
      and chest (27%). The time of admission peaked between 12:00 and 22:00, with a 
      second peak between 00:00 and 02:00. A total of 64% of patients were admitted 
      directly to our trauma centre. The median time to CT was 30 min (IQR 18-54 min). 
      Using multivariable regression analysis, the predictors of mortality were older 
      age, higher ISS and lower GCS. CONCLUSIONS: Characteristics of Swiss trauma 
      patients derived from TARN were described for the first time, providing a 
      detailed overview of the institutional trauma population. Based on these results, 
      patient management and hospital resources (e.g. triage of patients, time to CT, 
      staffing during night shifts) could be evaluated as a further step.
FAU - Hasler, Rebecca Maria
AU  - Hasler RM
AD  - Inselspital, University Hospital Bern, SWITZERLAND; rebecca.hasler@gmail.com.
FAU - Srivastava, David
AU  - Srivastava D
FAU - Aghayev, Emin
AU  - Aghayev E
FAU - Keel, Marius Johann
AU  - Keel MJ
FAU - Exadaktylos, Aristomenis Konstantinos
AU  - Exadaktylos AK
FAU - Schnuriger, Beat
AU  - Schnuriger B
LA  - eng
PT  - Journal Article
DEP - 20140213
PL  - Switzerland
TA  - Swiss Med Wkly
JT  - Swiss medical weekly
JID - 100970884
SB  - IM
MH  - Accidental Falls/mortality
MH  - Accidents, Traffic/mortality
MH  - Adult
MH  - Age Factors
MH  - Aged
MH  - Athletic Injuries/mortality
MH  - Craniocerebral Trauma/mortality
MH  - Female
MH  - Glasgow Coma Scale
MH  - Humans
MH  - Injury Severity Score
MH  - Leg Injuries/mortality
MH  - Male
MH  - Middle Aged
MH  - Prospective Studies
MH  - *Registries
MH  - Spinal Injuries/mortality
MH  - Switzerland/epidemiology
MH  - Thoracic Injuries/mortality
MH  - Time Factors
MH  - Tomography, X-Ray Computed
MH  - Trauma Centers/*statistics & numerical data
MH  - United Kingdom
MH  - Wounds and Injuries/*mortality
EDAT- 2014/02/15 06:00
MHDA- 2014/09/19 06:00
CRDT- 2014/02/15 06:00
PHST- 2014/02/15 06:00 [entrez]
PHST- 2014/02/15 06:00 [pubmed]
PHST- 2014/09/19 06:00 [medline]
AID - smw-13910 [pii]
AID - 10.4414/smw.2014.13910 [doi]
PST - epublish
SO  - Swiss Med Wkly. 2014 Feb 13;144:w13910. doi: 10.4414/smw.2014.13910.