What Is the Clinical Evidence Supporting Trauma Team Training (TTT): A Systematic Review and Meta-Analysis
<i>Background and Objectives:</i> Major trauma centres manage severely injured patients using multi-disciplinary teams but the evidence-base that targeted Trauma Team Training (TTT) improves patients’ outcomes is unclear. This systematic review aimed to identify the association...
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Format: | Article |
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MDPI AG
2019-08-01
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Series: | Medicina |
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Online Access: | https://www.mdpi.com/1010-660X/55/9/551 |
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author | Michael Noonan Alexander Olaussen Joseph Mathew Biswadev Mitra De Villiers Smit Mark Fitzgerald |
author_facet | Michael Noonan Alexander Olaussen Joseph Mathew Biswadev Mitra De Villiers Smit Mark Fitzgerald |
author_sort | Michael Noonan |
collection | DOAJ |
description | <i>Background and Objectives:</i> Major trauma centres manage severely injured patients using multi-disciplinary teams but the evidence-base that targeted Trauma Team Training (TTT) improves patients’ outcomes is unclear. This systematic review aimed to identify the association between the implementation of TTT programs and patient outcomes. <i>Materials and Methods</i>: We searched OVID Medline, PubMed and The Cochrane Library (CENTRAL) from the date of the database commencement until 10 of April 2019 for a combination of Medical Subject Headings (MeSH) terms and keywords relating to TTT and clinical outcomes. Reference lists of appraised studies were also screened for relevant articles. We extracted data on the study setting, type and details about the learners, as well as clinical outcomes of mortality and/or time to critical interventions. A meta-analysis of the association between TTT and mortality was conducted using a random effects model. <i>Results</i>: The search yielded 1136 unique records and abstracts, of which 18 full texts were reviewed. Nine studies met final inclusion, of which seven were included in a meta-analysis of the primary outcome. There were no randomised controlled trials. TTT was not associated with mortality (Pooled overall odds ratio (OR) 0.83; 95% Confidence Interval; 0.64−1.09). TTT was associated with improvements in time to operating theatre and time to first computerized tomography (CT) scanning. <i>Conclusions</i>: Despite few publications related to TTT, its introduction was associated with improvements in time to critical interventions. Whether such improvements can translate to improvements in patient outcomes remains unknown. Further research focusing on the translation of standardised trauma team reception “actions” into TTT is required to assess the association between TTT and patient outcome. |
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id | doaj.art-0824efb0689748098a8a2be32b65b2fd |
institution | Directory Open Access Journal |
issn | 1010-660X |
language | English |
last_indexed | 2024-03-12T07:41:11Z |
publishDate | 2019-08-01 |
publisher | MDPI AG |
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series | Medicina |
spelling | doaj.art-0824efb0689748098a8a2be32b65b2fd2023-09-02T21:16:59ZengMDPI AGMedicina1010-660X2019-08-0155955110.3390/medicina55090551medicina55090551What Is the Clinical Evidence Supporting Trauma Team Training (TTT): A Systematic Review and Meta-AnalysisMichael Noonan0Alexander Olaussen1Joseph Mathew2Biswadev Mitra3De Villiers Smit4Mark Fitzgerald5National Trauma Research Institute, Melbourne 3004, AustraliaNational Trauma Research Institute, Melbourne 3004, AustraliaNational Trauma Research Institute, Melbourne 3004, AustraliaNational Trauma Research Institute, Melbourne 3004, AustraliaEmergency & Trauma Centre, The Alfred Hospital, Melbourne 3004, AustraliaNational Trauma Research Institute, Melbourne 3004, Australia<i>Background and Objectives:</i> Major trauma centres manage severely injured patients using multi-disciplinary teams but the evidence-base that targeted Trauma Team Training (TTT) improves patients’ outcomes is unclear. This systematic review aimed to identify the association between the implementation of TTT programs and patient outcomes. <i>Materials and Methods</i>: We searched OVID Medline, PubMed and The Cochrane Library (CENTRAL) from the date of the database commencement until 10 of April 2019 for a combination of Medical Subject Headings (MeSH) terms and keywords relating to TTT and clinical outcomes. Reference lists of appraised studies were also screened for relevant articles. We extracted data on the study setting, type and details about the learners, as well as clinical outcomes of mortality and/or time to critical interventions. A meta-analysis of the association between TTT and mortality was conducted using a random effects model. <i>Results</i>: The search yielded 1136 unique records and abstracts, of which 18 full texts were reviewed. Nine studies met final inclusion, of which seven were included in a meta-analysis of the primary outcome. There were no randomised controlled trials. TTT was not associated with mortality (Pooled overall odds ratio (OR) 0.83; 95% Confidence Interval; 0.64−1.09). TTT was associated with improvements in time to operating theatre and time to first computerized tomography (CT) scanning. <i>Conclusions</i>: Despite few publications related to TTT, its introduction was associated with improvements in time to critical interventions. Whether such improvements can translate to improvements in patient outcomes remains unknown. Further research focusing on the translation of standardised trauma team reception “actions” into TTT is required to assess the association between TTT and patient outcome.https://www.mdpi.com/1010-660X/55/9/551Trauma Team Trainingwounds and injurieseducationsimulationmortality |
spellingShingle | Michael Noonan Alexander Olaussen Joseph Mathew Biswadev Mitra De Villiers Smit Mark Fitzgerald What Is the Clinical Evidence Supporting Trauma Team Training (TTT): A Systematic Review and Meta-Analysis Medicina Trauma Team Training wounds and injuries education simulation mortality |
title | What Is the Clinical Evidence Supporting Trauma Team Training (TTT): A Systematic Review and Meta-Analysis |
title_full | What Is the Clinical Evidence Supporting Trauma Team Training (TTT): A Systematic Review and Meta-Analysis |
title_fullStr | What Is the Clinical Evidence Supporting Trauma Team Training (TTT): A Systematic Review and Meta-Analysis |
title_full_unstemmed | What Is the Clinical Evidence Supporting Trauma Team Training (TTT): A Systematic Review and Meta-Analysis |
title_short | What Is the Clinical Evidence Supporting Trauma Team Training (TTT): A Systematic Review and Meta-Analysis |
title_sort | what is the clinical evidence supporting trauma team training ttt a systematic review and meta analysis |
topic | Trauma Team Training wounds and injuries education simulation mortality |
url | https://www.mdpi.com/1010-660X/55/9/551 |
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