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Article: Impact of a multidisciplinary trauma team on the outcome of acute subdural haematoma

TitleImpact of a multidisciplinary trauma team on the outcome of acute subdural haematoma
Authors
KeywordsAcute subdural haematoma
Hong Kong
Outcome
Trauma system
Traumatic brain injury
Issue Date2012
PublisherElsevier Ltd. The Journal's web site is located at http://www.elsevier.com/locate/injury
Citation
Injury, 2012, v. 43 n. 9, p. 1419-1422 How to Cite?
AbstractINTRODUCTION: To review the outcome of patients with post-traumatic acute subdural haematoma (ASDH) before and after the establishment of a hospital trauma team at a designated trauma centre. METHOD: A retrospective analysis was conducted on 82 consecutive patients who underwent surgery for post-traumatic ASDH. The 'PRE' and 'POST' groups included patients admitted before and after the establishment of a hospital trauma team, respectively. Injury severity was assessed by the admission Glasgow coma score, imaging findings, and the revised trauma score. Clinical outcome measures were the hospital length of stay and the Glasgow outcome score (GOS) upon hospital discharge. RESULTS: The overall mortality rate was 53.7%. No significant difference was found between the PRE and POST groups. The mean length of hospital stay was also comparable between the two groups. The functional status of those who survived acute hospital care was significantly better in the POST group. Good outcome (GOS of 4 or 5) was achieved in 66.7% of the survivors in the POST group, compared with 25.0% in the PRE group (p=0.024). CONCLUSION: Post-traumatic ASDH carried a poor prognosis. The mortality rate and hospital length of stay of patients were not found to be reduced after the establishment of a hospital trauma team. The latter, however, was associated with significantly better functional outcome amongst survivors. Although causality cannot be established due to the multitude of factors which may have affected patient outcome, our findings nonetheless provide further support for the introduction of a multidisciplinary hospital trauma team for the optimal care of trauma patients.
Persistent Identifierhttp://hdl.handle.net/10722/134738
ISSN
2015 Impact Factor: 1.91
2015 SCImago Journal Rankings: 0.982
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLeung, GKKen_HK
dc.contributor.authorNg, KBen_HK
dc.contributor.authorHo, Wen_HK
dc.contributor.authorHung, KNen_HK
dc.contributor.authorYuen, WKen_HK
dc.date.accessioned2011-07-14T02:26:45Z-
dc.date.available2011-07-14T02:26:45Z-
dc.date.issued2012en_HK
dc.identifier.citationInjury, 2012, v. 43 n. 9, p. 1419-1422en_HK
dc.identifier.issn0020-1383en_HK
dc.identifier.urihttp://hdl.handle.net/10722/134738-
dc.description.abstractINTRODUCTION: To review the outcome of patients with post-traumatic acute subdural haematoma (ASDH) before and after the establishment of a hospital trauma team at a designated trauma centre. METHOD: A retrospective analysis was conducted on 82 consecutive patients who underwent surgery for post-traumatic ASDH. The 'PRE' and 'POST' groups included patients admitted before and after the establishment of a hospital trauma team, respectively. Injury severity was assessed by the admission Glasgow coma score, imaging findings, and the revised trauma score. Clinical outcome measures were the hospital length of stay and the Glasgow outcome score (GOS) upon hospital discharge. RESULTS: The overall mortality rate was 53.7%. No significant difference was found between the PRE and POST groups. The mean length of hospital stay was also comparable between the two groups. The functional status of those who survived acute hospital care was significantly better in the POST group. Good outcome (GOS of 4 or 5) was achieved in 66.7% of the survivors in the POST group, compared with 25.0% in the PRE group (p=0.024). CONCLUSION: Post-traumatic ASDH carried a poor prognosis. The mortality rate and hospital length of stay of patients were not found to be reduced after the establishment of a hospital trauma team. The latter, however, was associated with significantly better functional outcome amongst survivors. Although causality cannot be established due to the multitude of factors which may have affected patient outcome, our findings nonetheless provide further support for the introduction of a multidisciplinary hospital trauma team for the optimal care of trauma patients.en_HK
dc.languageeng-
dc.publisherElsevier Ltd. The Journal's web site is located at http://www.elsevier.com/locate/injuryen_HK
dc.relation.ispartofInjuryen_HK
dc.subjectAcute subdural haematomaen_HK
dc.subjectHong Kongen_HK
dc.subjectOutcomeen_HK
dc.subjectTrauma systemen_HK
dc.subjectTraumatic brain injuryen_HK
dc.titleImpact of a multidisciplinary trauma team on the outcome of acute subdural haematomaen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0020-1383&volume=&spage=&epage=&date=2011&atitle=Impact+of+a+multidisciplinary+trauma+team+on+the+outcome+of+acute+subdural+haematoma-
dc.identifier.emailLeung, GKK: gilberto@hkucc.hku.hken_HK
dc.identifier.emailNg, KB: gloriang@hkucc.hku.hk-
dc.identifier.authorityLeung, GKK=rp00522en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.injury.2011.03.017en_HK
dc.identifier.pmid21474130-
dc.identifier.scopuseid_2-s2.0-84864290714en_HK
dc.identifier.hkuros204644-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-84864290714&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume43en_HK
dc.identifier.issue9en_HK
dc.identifier.spage1419en_HK
dc.identifier.epage1422en_HK
dc.identifier.isiWOS:000306666100015-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridYuen, WK=37065248000en_HK
dc.identifier.scopusauthoridHung, KN=7202728375en_HK
dc.identifier.scopusauthoridHo, W=36855639600en_HK
dc.identifier.scopusauthoridNg, GKB=37065177500en_HK
dc.identifier.scopusauthoridLeung, GKK=35965118200en_HK
dc.identifier.citeulike9188246-

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