![]() The effect of a golden hour policy on the morbidity and mortality of combat casualties. Kotwal RS, Howard JT, Orman JA, Tarpey BW, Bailey JA, Champion HR, Mabry RL, Holcomb JB, Gross KR. Revisiting the “golden hour”: an evaluation of out-of-hospital time in shock and traumatic brain injury. Newgard CD, Meier EN, Bulger EM, Buick J, Sheehan K, Lin S, Minei JP, Barnes-Mackey RA, Brasel K, Investigators R.O.C. Redefining the golden hour for severe head injury in an urban setting: the effect of prehospital arrival times on patient outcomes. 2015 46:525–7.ĭinh MM, Bein K, Roncal S, Byrne CM, Petchell J, Brennan J. The golden hour in trauma: dogma or medical folklore? Injury. A total emergency medical system for the state of maryland. ConclusionĮven within 2 h, a shorter time to definitive care is positively associated with patient survival and functional outcome, especially in the subgroups of major trauma and torso injury.Ĭowley RA. Subgroup analyses showed the same association in the major trauma ( n = 321, p < 0.05) and torso injury groups ( n = 388, p < 0.01) with the 30 day mortality rate and in the major trauma ( p < 0.01), traumatic brain injury ( n = 741, p < 0.05), and torso injury ( p < 0.05) groups with the poor functional outcome. For all patients, a longer interval was positively associated with the 30 day mortality rate ( p = 0.053) and poor functional outcome ( p < 0.05). ![]() The mean time from injury to definitive care was 1.28 ± 0.69 h, with cases categorized into the following subgroups: < 30, 30–60, 60–90, and 90–120 min. Subgroup analyses of different injury severities and patterns were performed. The 30 day mortality rate and functional outcome were studied using the Modified Rankin Scale ratings of 0–3 vs 4–6 for favorable vs poor functional outcomes, respectively. Exposure measurement was recorded every 30 min from injury to definitive care. ![]() We used the Pan-Asian Trauma Outcome Study registry to analyze a retrospective cohort of 963 trauma patients who received surgical intervention or transarterial embolization within 2 h of injury in Asian countries between January 2016 and December 2020. ![]() This study examined the association between lapsed time and trauma patients, suggesting that a shorter time to definitive care leads to a better outcome. ![]()
0 Comments
Leave a Reply. |