Impact of a multifunctional image-guided therapy suite on emergency multiple trauma care

The British Journal of Surgery
T GrossA L Jacob

Abstract

The multifunctional image-guided therapy suite (MIGTS), a combined diagnostic and operating theatre, is currently the subject of considerable interest. This study investigated the effect of instituting a MIGTS on the emergency treatment of multiply injured patients. This prospective controlled intervention study (MIGTS versus conventional treatment) included consecutive multiply injured trauma patients (Injury Severity Score of 16 or more) admitted between February 2003 and April 2005 to a university hospital. Main outcome measures were time to computed tomography (CT) and number of in-hospital transfers. A total of 168 patients were enrolled, 87 in the MIGTS and 81 in the control group. On average, CT was started at least 13 min sooner in the MIGTS group (P < 0.001), and these patients underwent fewer within-hospital transfers before arrival in the intensive care unit (median 2 versus 4 for controls; odds ratio -2.92, P < 0.001). Team members indicated increased satisfaction with the quality of the MIGTS procedure over the course of the study (P = 0.009). Thirty-day mortality rate (17 per cent for MIGTS versus 22 per cent for controls; P = 0.420) and long-term outcome did not differ between the two groups. Implementation of a ...Continue Reading

References

Sep 1, 1991·The Journal of Trauma·T A EmhoffC Valenziano
Jan 1, 1990·Journal of Biomechanics·S S MarguliesT A Gennarelli
Jan 11, 1971·JAMA : the Journal of the American Medical Association
Oct 21, 1993·The New England Journal of Medicine·J P Kassirer
Mar 1, 1996·European Journal of Radiology·O Pohlenz, P J Bode
Aug 1, 1997·The Journal of Arthroplasty·A Diwan, R Drummond
Mar 17, 2000·BMJ : British Medical Journal·J B SextonR L Helmreich
Nov 30, 2000·Critical Care : the Official Journal of the Critical Care Forum·C Waydhas
Jul 12, 2002·European Radiology·Ulrich LinsenmaierMaximilian Reiser
Jul 26, 2002·Annals of Emergency Medicine·Meredith E Spear
Jul 16, 2005·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·T GrossP Messmer
Dec 13, 2005·International Journal of Health Care Quality Assurance Incorporating Leadership in Health Services·Jane McCuskerMichael Riccardi
Feb 16, 2007·Critical Care : the Official Journal of the Critical Care Forum·Thomas GeeraertsJacques Duranteau
Apr 18, 2007·Archives of Surgery·Charles M VollmerMark P Callery
Sep 1, 2007·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·A L JacobP Messmer
Jan 24, 2008·The Journal of Trauma·Pedro G R TeixeiraDemetrios Demetriades
Jun 12, 2008·The Journal of Trauma·John B KortbeekRobert Winter
Dec 17, 2008·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Thomas Erik WurmbJörg Brederlau
Jan 15, 2009·JAMA : the Journal of the American Medical Association·J Frank Wharam, Daniel Sulmasy
Feb 21, 2009·The Journal of Bone and Joint Surgery. American Volume·Gurion Rivkin, Meir Liebergall
Mar 27, 2009·Lancet·Stefan Huber-WagnerUNKNOWN Working Group on Polytrauma of the German Trauma Society

❮ Previous
Next ❯

Citations

Jun 22, 2017·Acta Anaesthesiologica Scandinavica·S WulffeldJ Steinmetz
Apr 4, 2018·The Journal of Trauma and Acute Care Surgery·Shokei MatsumotoRaul Coimbra
Oct 1, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Christian Tibor Josef MagyarThomas Gross
Dec 20, 2012·Journal of Perioperative Practice·Jakub Kaczynski, Joanna Hilton
Aug 21, 2019·World Journal of Emergency Surgery : WJES·Falco HietbrinkLuke Leenen
Aug 30, 2021·World Journal of Emergency Surgery : WJES·Chun Yuet KhooSachin Mathur
Dec 16, 2021·RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin·Antonio ErnstbergerAndreas G Schreyer

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Journal of Trauma
Ellen J MacKenziePennsylvania Study Group on Functional Outcomes Following Trauma
Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society
D P MartinMarc F Swiontkowski
The Journal of Bone and Joint Surgery. American Volume
Rudolf W PoolmanHenrica C W de Vet
Archives of Surgery
Frederick P RivaraDaniel O Scharfstein
© 2022 Meta ULC. All rights reserved