Association between the time to definitive care and trauma patient outcomes: every minute in the golden hour matters

Hsieh SL 1 , Hsiao CH 2 , Chiang WC 3 , Shin SD 4 , Jamaluddin SF 5 , Son DN 6 Show all authors , Hong KJ 4 , Jen-Tang S 7 , Tsai W 1 , Chien DK 1 , Chang WH 1 , Chen TH 8 , PATOS Clinical Research Network

Affiliations 

  • 1 Department of Emergency Medicine, Mackay Memorial Hospital, Taipei, Taiwan
  • 2 Department of Linguistics, Indiana University, Bloomington, IN, USA
  • 3 Department of Emergency Medicine, Yunlin Branch, National Taiwan University Hospital, Douliu City, Taiwan
  • 4 Department of Emergency Medicine, Seoul National University College of Medicine and Hospital, Seoul, Korea
  • 5 Faculty of Medicine, Universiti Teknologi MARA, Shah Alam, Malaysia
  • 6 Center for Emergency Medicine, Bach Mai Hospital, Hanoi, Vietnam
  • 7 Department of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan
  • 8 Department of Emergency Medicine, Mackay Memorial Hospital, Taipei, Taiwan. 99311121@gms.tcu.edu.tw
Eur J Trauma Emerg Surg, 2021 Nov 25.
PMID: 34825274 DOI: 10.1007/s00068-021-01816-8

Abstract

PURPOSE: This study examined the association between lapsed time and trauma patients, suggesting that a shorter time to definitive care leads to a better outcome.

METHODS: 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. Exposure measurement was recorded every 30 min from injury to definitive care. 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. Subgroup analyses of different injury severities and patterns were performed.

RESULTS: The mean time from injury to definitive care was 1.28 ± 0.69 h, with cases categorized into the following subgroups: 

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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