단순 외상팀 활성화 조건이 중증 외상 환자의 치료 결과에 미치는 영향 (Effectiveness of Simple Trauma Team Activation Criteria on Prognosis of Severe Trauma Patients)

서지정보

· 발행기관 : 대한외상학회
· 수록지 정보 : 대한외상학회지 / 22권 / 1호 / 71 ~ 76페이지
· 저자명 : 이동건, 이강현, 차경철, 박경혜, 최한주, 김현, 황성오

초록

Purpose: The goal of this study was to compare the outcome of the after trauma team (AfterTT) group to the
before trauma team (BeforeTT) group.
Methods: All trauma patients who visited to emergency room (ER) between July 1, 2006 and February 29,
2008 based on trauma registry, with systolic blood pressure (SBP) < 90 mmHg or GCS < 9 were included in
this study. We compared the amount of packed RBC transfusion, the ER stay time, the ER visit to CT evaluation
time, the ER visit to operation time, the length of ICU stay, the length of hospital admission and the survival
discharge rate between the AfterTT group and the BeforeTT group. Patients with brain injuries had little
chance of survival. Burn patients, who visited the ER 24 hours after injury and patients who were dead on
arrival (DOA) were excluded from this study.
Results: Total of 93 patients were included in this study: 42 in the AfterTT group and 51 in the BeforeTT
group. The AfterTT group and the Before TT group showed no differences in Revised Trauma Score (RTS)
and mean age. The amount of packed RBC transfusion was lower in the AfterTT group, but no statistically significant
difference was noted (AfterTT 11±11units, BeforeTT 16±15units, p=0.136). The ER visit to operation
time was shorter in the AfterTT group, but there were no statistically significant difference between the
groups (AfterTT 251±223 minutes, BeforeTT 486±460 minutes, p=0.082). The length of ICU stay was shorter
in the AfterTT group, but the difference was not statistically significant (AfterTT 11±12 days, Before TT
15±30 days, p=0.438). The length of Hospital admission was shorter in the AfterTT group (AfterTT 43±37
days, BeforeTT 68±70 days, p=0.032), but this difference was not statistically significant.
Conclusion: Simple Trauma team activation criteria decreased the amount of packed RBC transfusion and
the hospital admission duration. Hemodynamic instability (SBP < 90 mmHg) and decreased mental state (GCS
<9) are good indices for activating the trauma team.

영어초록

Purpose: The goal of this study was to compare the outcome of the after trauma team (AfterTT) group to the
before trauma team (BeforeTT) group.
Methods: All trauma patients who visited to emergency room (ER) between July 1, 2006 and February 29,
2008 based on trauma registry, with systolic blood pressure (SBP) < 90 mmHg or GCS < 9 were included in
this study. We compared the amount of packed RBC transfusion, the ER stay time, the ER visit to CT evaluation
time, the ER visit to operation time, the length of ICU stay, the length of hospital admission and the survival
discharge rate between the AfterTT group and the BeforeTT group. Patients with brain injuries had little
chance of survival. Burn patients, who visited the ER 24 hours after injury and patients who were dead on
arrival (DOA) were excluded from this study.
Results: Total of 93 patients were included in this study: 42 in the AfterTT group and 51 in the BeforeTT
group. The AfterTT group and the Before TT group showed no differences in Revised Trauma Score (RTS)
and mean age. The amount of packed RBC transfusion was lower in the AfterTT group, but no statistically significant
difference was noted (AfterTT 11±11units, BeforeTT 16±15units, p=0.136). The ER visit to operation
time was shorter in the AfterTT group, but there were no statistically significant difference between the
groups (AfterTT 251±223 minutes, BeforeTT 486±460 minutes, p=0.082). The length of ICU stay was shorter
in the AfterTT group, but the difference was not statistically significant (AfterTT 11±12 days, Before TT
15±30 days, p=0.438). The length of Hospital admission was shorter in the AfterTT group (AfterTT 43±37
days, BeforeTT 68±70 days, p=0.032), but this difference was not statistically significant.
Conclusion: Simple Trauma team activation criteria decreased the amount of packed RBC transfusion and
the hospital admission duration. Hemodynamic instability (SBP < 90 mmHg) and decreased mental state (GCS
<9) are good indices for activating the trauma team.

참고자료

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