Evidence of Prolonged Monitoring of Trauma Patients Admitted via Trauma Resuscitation Unit without Primary Proof of Severe Injuries
Introductio: Although management of severely injured patients in the Trauma Resuscitation Unit (TRU) follows evidence-based guidelines, algorithms for treatment of the slightly injured are limited. Methods: All trauma patients in a period of eight months in a Level I trauma center were followed. Ret...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-08-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/9/8/2516 |
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| author | Martin Heinrich Matthias Lany Lydia Anastasopoulou Christoph Biehl Gabor Szalay Florian Brenck Christian Heiss |
| author_facet | Martin Heinrich Matthias Lany Lydia Anastasopoulou Christoph Biehl Gabor Szalay Florian Brenck Christian Heiss |
| author_sort | Martin Heinrich |
| collection | DOAJ |
| description | Introductio: Although management of severely injured patients in the Trauma Resuscitation Unit (TRU) follows evidence-based guidelines, algorithms for treatment of the slightly injured are limited. Methods: All trauma patients in a period of eight months in a Level I trauma center were followed. Retrospective analysis was performed only in patients ≥18 years with primary TRU admission, Abbreviated Injury Scale (AIS) ≤ 1, Maximum Abbreviated Injury Scale (MAIS) ≤ 1 and Injury Severity Score (ISS) ≤3 after treatment completion and ≥24 h monitoring in the units. Cochran’s Q-test was used for the statistical evaluation of AIS and ISS changes in units. Results: One hundred and twelve patients were enrolled in the study. Twenty-one patients (18.75%) reported new complaints after treatment completion in the TRU. AIS rose from the Intermediate Care Unit (IMC) to Normal Care Unit (NCU) 6.2% and ISS 6.9%. MAIS did not increase >2, and no intervention was necessary for any patient. No correlation was found between computed tomography (CT) diagnostics in TRU and AIS change. Conclusions: The data suggest that AIS, MAIS and ISS did not increase significantly in patients without a severe injury during inpatient treatment, regardless of the type of CT diagnostics performed in the TRU, suggesting that monitoring of these patients may be unnecessary. |
| first_indexed | 2024-03-10T17:57:52Z |
| format | Article |
| id | doaj.art-4cad118fb7684626bc5550c6c1524fc4 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T17:57:52Z |
| publishDate | 2020-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-4cad118fb7684626bc5550c6c1524fc42023-11-20T09:04:51ZengMDPI AGJournal of Clinical Medicine2077-03832020-08-0198251610.3390/jcm9082516Evidence of Prolonged Monitoring of Trauma Patients Admitted via Trauma Resuscitation Unit without Primary Proof of Severe InjuriesMartin Heinrich0Matthias Lany1Lydia Anastasopoulou2Christoph Biehl3Gabor Szalay4Florian Brenck5Christian Heiss6Department of Trauma, Hand and Reconstructive Surgery, University Hospital Giessen, 35392 Giessen, GermanyDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Giessen, 35392 Giessen, GermanyDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Giessen, 35392 Giessen, GermanyDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Giessen, 35392 Giessen, GermanyDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Giessen, 35392 Giessen, GermanyDepartment of Anesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Giessen, 35392 Giessen, GermanyDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Giessen, 35392 Giessen, GermanyIntroductio: Although management of severely injured patients in the Trauma Resuscitation Unit (TRU) follows evidence-based guidelines, algorithms for treatment of the slightly injured are limited. Methods: All trauma patients in a period of eight months in a Level I trauma center were followed. Retrospective analysis was performed only in patients ≥18 years with primary TRU admission, Abbreviated Injury Scale (AIS) ≤ 1, Maximum Abbreviated Injury Scale (MAIS) ≤ 1 and Injury Severity Score (ISS) ≤3 after treatment completion and ≥24 h monitoring in the units. Cochran’s Q-test was used for the statistical evaluation of AIS and ISS changes in units. Results: One hundred and twelve patients were enrolled in the study. Twenty-one patients (18.75%) reported new complaints after treatment completion in the TRU. AIS rose from the Intermediate Care Unit (IMC) to Normal Care Unit (NCU) 6.2% and ISS 6.9%. MAIS did not increase >2, and no intervention was necessary for any patient. No correlation was found between computed tomography (CT) diagnostics in TRU and AIS change. Conclusions: The data suggest that AIS, MAIS and ISS did not increase significantly in patients without a severe injury during inpatient treatment, regardless of the type of CT diagnostics performed in the TRU, suggesting that monitoring of these patients may be unnecessary.https://www.mdpi.com/2077-0383/9/8/2516trauma resuscitation unitemergency medicineinjury severityabbreviated injury scaleinjury severity score |
| spellingShingle | Martin Heinrich Matthias Lany Lydia Anastasopoulou Christoph Biehl Gabor Szalay Florian Brenck Christian Heiss Evidence of Prolonged Monitoring of Trauma Patients Admitted via Trauma Resuscitation Unit without Primary Proof of Severe Injuries Journal of Clinical Medicine trauma resuscitation unit emergency medicine injury severity abbreviated injury scale injury severity score |
| title | Evidence of Prolonged Monitoring of Trauma Patients Admitted via Trauma Resuscitation Unit without Primary Proof of Severe Injuries |
| title_full | Evidence of Prolonged Monitoring of Trauma Patients Admitted via Trauma Resuscitation Unit without Primary Proof of Severe Injuries |
| title_fullStr | Evidence of Prolonged Monitoring of Trauma Patients Admitted via Trauma Resuscitation Unit without Primary Proof of Severe Injuries |
| title_full_unstemmed | Evidence of Prolonged Monitoring of Trauma Patients Admitted via Trauma Resuscitation Unit without Primary Proof of Severe Injuries |
| title_short | Evidence of Prolonged Monitoring of Trauma Patients Admitted via Trauma Resuscitation Unit without Primary Proof of Severe Injuries |
| title_sort | evidence of prolonged monitoring of trauma patients admitted via trauma resuscitation unit without primary proof of severe injuries |
| topic | trauma resuscitation unit emergency medicine injury severity abbreviated injury scale injury severity score |
| url | https://www.mdpi.com/2077-0383/9/8/2516 |
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