Journal des essais cliniques
Libre accès
ISSN: 2167-0870
ISSN: 2167-0870
Gui-Xi Zhang, Wei-Fu Qiu, Ke-Jin Chen, Shao-Feng Gong, Zhao-Hua Liu, Ya-Jun Zhang, Yu-Hui Kou, Chung Mau Lo, Joe King Man Fan*, Xiao-Bing Fu*
Background: International experiences have shown that trauma centers significantly reduce mortality for major trauma patients. During this 6-year study, the aim was to compare the outcomes before and after trauma center establishment and to identify the necessary components for a standardized trauma center.
Methods: ATLS® training was provided to doctors and a questionnaire was performed. A trauma team activation policy was established and trauma call-out system was installed. A multidisciplinary trauma team was organized, and a trauma resuscitation bay was set up. Trauma audit meetings were introduced as an approach to continuous trauma quality improvement. Data were collected before and after trauma center establishment, and guidelines for a standardized trauma center were explored.
Results: 221 doctors from mainland China received ATLS® training with positive feedback. A regional trauma center was established with a well-equipped trauma bay. Trauma admission was going up and trauma deaths were going down during 2016 to 2021. Trauma data from 2018 and 2019 showed that mortality of major trauma patients (ISS>15 or activated a multidisciplinary trauma team) has significantly deceased, with decreased in preventable trauma death as well. Trauma audit meeting has played an important role for trauma quality improvement. 12 Guidelines are recognized as components for a standardized trauma center.
Conclusion: Standardized trauma center decreases trauma mortality. The “12 Guidelines” have been proven to be successful examples. This practical approach can be replicated in other hospitals seeking to establish a trauma center. The effectiveness of this study has been demonstrated, and there is value in extending it to other parts of mainland China.