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Geriatric Polytrauma SOP

NCT ID: NCT03319381

Last Updated: 2017-10-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

311 participants

Study Classification

OBSERVATIONAL

Study Start Date

2000-01-01

Study Completion Date

2012-12-31

Brief Summary

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This study investigated whether there were improvements in the in-hospital mortality, infection rate, and rate of palliative care among geriatric trauma patients after the implementation of new standard operating procedures (SOPs) for the resuscitation room. These new SOPs, comprising early whole-body computed tomography (CT), damage control surgery, and the use of goal-directed coagulation management, were designed for severely injured adult trauma patients

Detailed Description

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This study involved the analysis of a prospective single-centre database. Patients admitted via the resuscitation room with need for intensive care treatment after the resuscitation room phase were included and compared before the implementation of the new SOPs (between 1 January, 2000 and 31 December, 2006) and after their implementation in 2009 (between 1 January, 2010 and 31 December, 2012) of our level-I trauma centre.

Conditions

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Geriatrics

Keywords

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Algorithm In-hospital mortality Multiple trauma Standard of care

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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w/o SOP

Time period 1: 2000-2006, without new SOPs

Following new SOPs

Intervention Type BEHAVIORAL

The new SOPs comprised early whole-body CT, damage control surgery, and the use of goal-directed coagulation management and are based on the ATLS® concept, which was the strictly followed protocol before implementation of the new SOPs

SOP

Time period 2: 2010-2012, after implementation of the new SOPs

Following new SOPs

Intervention Type BEHAVIORAL

The new SOPs comprised early whole-body CT, damage control surgery, and the use of goal-directed coagulation management and are based on the ATLS® concept, which was the strictly followed protocol before implementation of the new SOPs

Interventions

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Following new SOPs

The new SOPs comprised early whole-body CT, damage control surgery, and the use of goal-directed coagulation management and are based on the ATLS® concept, which was the strictly followed protocol before implementation of the new SOPs

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

Inclusion in internal trauma database

Exclusion Criteria

Comprised age \< 65 years, ISS \< 9, and transfers from other hospitals.
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Zurich

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

References

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Peterer L, Ossendorf C, Jensen KO, Osterhoff G, Mica L, Seifert B, Werner CML, Simmen HP, Pape HC, Sprengel K. Implementation of new standard operating procedures for geriatric trauma patients with multiple injuries: a single level I trauma centre study. BMC Geriatr. 2019 Dec 19;19(1):359. doi: 10.1186/s12877-019-1380-z.

Reference Type DERIVED
PMID: 31856739 (View on PubMed)

Other Identifiers

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USZ-TRA-SPRKA001

Identifier Type: -

Identifier Source: org_study_id