The Effect of a Multidisciplinary Trauma Team Leader Paradigm at a Tertiary Trauma Center: 10-Year Experience
Joint Authors
Razek, T.
Nemeth, Joe
Lavigueur, Olivier
Maghraby, Nisreen
Source
Emergency Medicine International
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-08-13
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
To illustrate the impact of the implementation of a multidisciplinary TTL program in 2005 on the mortality of trauma patients in a level 1 trauma center as well as admission rates and length of stay.
Methods.
Retrospective observational study of all trauma patients included in the provincial trauma database at the Montreal General Hospital between 1998 and 2015.
The primary outcome studied was in-hospital mortality.
The secondary outcomes studied were hospital and intensive care unit (ICU) rates of admission and hospital and ICU length of stay.
Results.
24,107 patients were included.
We observed a statistically significant reduction in mortality of 1.25% or a relative reduction of 16% (p value = 0.0058; rate ratio 0.844 (95% CI 0.747–0.952)).
ICU admissions were also significantly reduced where we observed a statistically significant absolute reduction of 4.46% or a relative reduction of 14% (p value = 8.38 × 10−7; rate ratio 0.859 (95% CI 0.808–0.912)).
The ICU length of stay was increased by 0.91 days or 19.03% (p value = 0.016 (95% CI 0.167–1.655)).
There was no observed change in overall length of stay (13.97 days pre-TTL and 12.91 post-TTL (p value = 0.13; estimate −1.053 (95% CI −2.424–0.318))).
Conclusions.
This article suggests that multidisciplinary TTL model may be beneficial in the care of trauma patients.
Further subgroup analysis may help determine which patients could benefit more.
American Psychological Association (APA)
Lavigueur, Olivier& Nemeth, Joe& Razek, T.& Maghraby, Nisreen. 2020. The Effect of a Multidisciplinary Trauma Team Leader Paradigm at a Tertiary Trauma Center: 10-Year Experience. Emergency Medicine International،Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1159155
Modern Language Association (MLA)
Lavigueur, Olivier…[et al.]. The Effect of a Multidisciplinary Trauma Team Leader Paradigm at a Tertiary Trauma Center: 10-Year Experience. Emergency Medicine International No. 2020 (2020), pp.1-8.
https://search.emarefa.net/detail/BIM-1159155
American Medical Association (AMA)
Lavigueur, Olivier& Nemeth, Joe& Razek, T.& Maghraby, Nisreen. The Effect of a Multidisciplinary Trauma Team Leader Paradigm at a Tertiary Trauma Center: 10-Year Experience. Emergency Medicine International. 2020. Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1159155
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1159155