Reference : Impact of a prehospital discrimination between trauma patients with or without early ...
Scientific journals : Article
Human health sciences : Surgery
http://hdl.handle.net/2268/223554
Impact of a prehospital discrimination between trauma patients with or without early acute coagulopathy of trauma and the need for damage control resuscitation: rationale and design of a multicenter randomized phase II trial.
English
TONGLET, Martin mailto [Centre Hospitalier Universitaire de Liège - CHU > > Service des urgences >]
D'ORIO, Vincenzo mailto [Centre Hospitalier Universitaire de Liège - CHU > > Service des urgences >]
MOENS, Didier mailto [Centre Hospitalier Universitaire de Liège - CHU > > Service des urgences >]
SZECEL, Julien [Centre Hospitalier Universitaire de Liège - CHU > > Service des urgences >]
PIAZZA, Justine mailto [Centre Hospitalier Universitaire de Liège - CHU > > Service des urgences >]
BETZ, Romain mailto [Centre Hospitalier Universitaire de Liège - CHU > > Service des urgences >]
GHUYSEN, Alexandre mailto [Centre Hospitalier Universitaire de Liège - CHU > > Service des urgences >]
Guillaume, Michèle mailto [Université de Liège - ULiège > Département des sciences de la santé publique > Epidémiologie nutritionnelle >]
Donneau, Anne-Françoise mailto [Université de Liège - ULiège > Département des sciences de la santé publique > Biostatistique >]
Husson, Eddy mailto [Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique : aspects spécifiques >]
DECOSTER BATIDOO, Gerard David [Centre Hospitalier Universitaire de Liège - CHU > > Service des urgences >]
2019
Acta Chirurgica Belgica
Taylor & Francis
Yes (verified by ORBi)
International
0001-5458
United Kingdom
[en] trauma ; bleeding ; prehospital
[en] BACKGROUND:
The evidence of the Trauma Induced Coagulopathy Clinical Score (TICCS) accuracy has been evaluated in several studies but the potential effect of its use on patient outcomes needs to be evaluated. The primary objective of this study is to evaluate the impact on mortality of a prehospital discrimination between trauma patients with or without a potential need for damage control resuscitation.
METHODS:
The trial will be designed as randomized phase II clinical trial with comparison of the experimental protocol against the standard of care. The TICCS will be calculated on the site of injury for the patients of the intervention group and treatment will be guided by the TICCS value. Seven days mortality, 30 days mortality, global use of blood products and global hospital length-of-stay will be compared.
DISCUSSION:
Many data suggest that a very early flagging of trauma patients in need for DCR would be beneficial but this need to be proved. Do we improve our quality of care by an earlier diagnosis? Does a prehospital discrimination between trauma patients with or without a potential need for DCR has a positive impact?
http://hdl.handle.net/2268/223554
10.1080/00015458.2018.1470276

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