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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Association Between Prearrival Notification Time and Advanced Trauma Life Support Protocol Adherence
The Journal of surgical research, Vol.242, pp.231-238
Oct 2019
PMID: 31100569
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Prearrival notification of injured patients facilitates preparation of personnel, equipment, and other resources needed for trauma evaluation and treatment. Our purpose was to determine the impact of prearrival notification time on adherence to Advanced Trauma Life Support (ATLS) protocols.
Pediatric trauma activations of admitted patients were analyzed by video review to determine activities performed before and after patient arrival. Using an expert model based on ATLS, fitness scores were calculated that represented model adherence, ranging from "0" (noncompliant) to "100" (completely compliant). Multivariate regression was used to determine the association between fitness values of the evaluation phases and the length of prearrival notification time and injury profiles.
Ninety-four patients met study criteria. The average overall fitness was 89.0 ± 7.3, with similar fitness values being observed for the primary and secondary surveys (91.5 ± 13.4 and 88.6 ± 7.7, respectively). Prearrival notification time ranged from 67.3 min before to 4.8 min after patient arrival. Longer prearrival notification time was associated with improved completion of prearrival tasks, overall resuscitation performance, and secondary survey performance. The positive association of overall and secondary survey fitness with notification time was no longer observed when notification time was <5 min and <10 min, respectively. Notification time was correlated with a higher percentage of required team members when the patient arrived (Pearson correlation coefficient 0.46, P < 0.001).
Prearrival notification time has a significant impact on adherence to ATLS protocol. Strategies for improving notification time or improving performance when adequate notification cannot be achieved are needed.
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Details
- Title
- Association Between Prearrival Notification Time and Advanced Trauma Life Support Protocol Adherence
- Creators
- Omar Z Ahmed - Children's National Medical Center, Division of Trauma and Burn Surgery, Washington, District of ColumbiaSen Yang - Department of Electrical and Computer Engineering, Rutgers University, Piscataway, New JerseyRichard A Farneth - Children's National Medical Center, Division of Trauma and Burn Surgery, Washington, District of ColumbiaAleksandra Sarcevic - College of Computing and Informatics, Drexel University, Philadelphia, PennsylvaniaIvan Marsic - Department of Electrical and Computer Engineering, Rutgers University, Piscataway, New JerseyRandall S Burd - Children's National Medical Center, Division of Trauma and Burn Surgery, Washington, District of Columbia. Electronic address: rburd@cnmc.org
- Publication Details
- The Journal of surgical research, Vol.242, pp.231-238
- Publisher
- Elsevier; United States
- Grant note
- R01 LM011834 / NLM NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Information Science (Informatics)
- Identifiers
- 991014976817204721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Surgery