The Effects of a Trauma Team Approach on the Management of Open Extremity Fractures in Polytrauma Patients: A Retrospective Comparative Study
Purpose Open extremity fractures require prompt antibiotic medication and initial debridement surgery to reduce the infection rate and restore functional stabilization. We aimed to report the effects and positive outcomes of a trauma team approach on the management of open extremity fractures in pol...
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Korean Society of Traumatology
2021-06-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://www.jtraumainj.org/upload/pdf/jti-2020-0043.pdf |
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| author | Seungyeob Sakong Eic Ju Lim Jun-Min Cho Nak-Jun Choi Jae-Woo Cho Jong-Keon Oh |
| author_facet | Seungyeob Sakong Eic Ju Lim Jun-Min Cho Nak-Jun Choi Jae-Woo Cho Jong-Keon Oh |
| author_sort | Seungyeob Sakong |
| collection | DOAJ |
| description | Purpose Open extremity fractures require prompt antibiotic medication and initial debridement surgery to reduce the infection rate and restore functional stabilization. We aimed to report the effects and positive outcomes of a trauma team approach on the management of open extremity fractures in polytrauma patients. Methods This retrospective review included all polytrauma patients with open extremity fractures admitted between March 2009 and December 2019. Patients were divided into two groups according to whether they were treated before or after the implementation of the trauma team approach (March 2014). We analyzed the outcomes in each group with respect to the time interval until the doctor’s arrival, total length of stay in the emergency department, the time interval until initial antibiotic treatment and operation, whether the initial operation was performed within 24 hours, and the rate of deep infections. Results A total of 123 patients met the inclusion criteria. There were no statistically significant differences in demographic characteristics. The time interval until the doctor’s arrival (64.12±49.2 minutes vs. 19.82±15.23 minutes; p=0.035) and initial antibiotic treatment (115.47±72.12 minutes vs. 48.78±30.12 minutes; p=0.023) significantly improved after implementing the trauma team approach. The union rate was not significantly different. However, the time interval until initial debridement, opportunity for initial debridement within 24 hours, and the rate of deep infections demonstrated better results. Conclusions The reduced time interval until initial antibiotic treatment and debridement could be attributed to the positive effect of the trauma team approach on the management of open extremity fractures in polytrauma patients. |
| format | Article |
| id | doaj-art-cc9cea914a3d4760bc14a2fc9feabb59 |
| institution | Kabale University |
| issn | 1738-8767 2287-1683 |
| language | English |
| publishDate | 2021-06-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-cc9cea914a3d4760bc14a2fc9feabb592025-01-08T08:08:46ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832021-06-0134210511110.20408/jti.2020.00431056The Effects of a Trauma Team Approach on the Management of Open Extremity Fractures in Polytrauma Patients: A Retrospective Comparative StudySeungyeob Sakong0Eic Ju Lim1Jun-Min Cho2Nak-Jun Choi3Jae-Woo Cho4Jong-Keon Oh5 Department of Orthopedic Surgery, Korea University Guro Hospital, Seoul, Korea Department of Orthopedic Surgery, Korea University Guro Hospital, Seoul, Korea Department of General Surgery, Korea University Guro Hospital, Seoul, Korea Department of General Surgery, Korea University Guro Hospital, Seoul, Korea Department of Orthopedic Surgery, Korea University Guro Hospital, Seoul, Korea Department of Orthopedic Surgery, Korea University Guro Hospital, Seoul, KoreaPurpose Open extremity fractures require prompt antibiotic medication and initial debridement surgery to reduce the infection rate and restore functional stabilization. We aimed to report the effects and positive outcomes of a trauma team approach on the management of open extremity fractures in polytrauma patients. Methods This retrospective review included all polytrauma patients with open extremity fractures admitted between March 2009 and December 2019. Patients were divided into two groups according to whether they were treated before or after the implementation of the trauma team approach (March 2014). We analyzed the outcomes in each group with respect to the time interval until the doctor’s arrival, total length of stay in the emergency department, the time interval until initial antibiotic treatment and operation, whether the initial operation was performed within 24 hours, and the rate of deep infections. Results A total of 123 patients met the inclusion criteria. There were no statistically significant differences in demographic characteristics. The time interval until the doctor’s arrival (64.12±49.2 minutes vs. 19.82±15.23 minutes; p=0.035) and initial antibiotic treatment (115.47±72.12 minutes vs. 48.78±30.12 minutes; p=0.023) significantly improved after implementing the trauma team approach. The union rate was not significantly different. However, the time interval until initial debridement, opportunity for initial debridement within 24 hours, and the rate of deep infections demonstrated better results. Conclusions The reduced time interval until initial antibiotic treatment and debridement could be attributed to the positive effect of the trauma team approach on the management of open extremity fractures in polytrauma patients.http://www.jtraumainj.org/upload/pdf/jti-2020-0043.pdfopen fracturemultiple traumatrauma team approach |
| spellingShingle | Seungyeob Sakong Eic Ju Lim Jun-Min Cho Nak-Jun Choi Jae-Woo Cho Jong-Keon Oh The Effects of a Trauma Team Approach on the Management of Open Extremity Fractures in Polytrauma Patients: A Retrospective Comparative Study Journal of Trauma and Injury open fracture multiple trauma trauma team approach |
| title | The Effects of a Trauma Team Approach on the Management of Open Extremity Fractures in Polytrauma Patients: A Retrospective Comparative Study |
| title_full | The Effects of a Trauma Team Approach on the Management of Open Extremity Fractures in Polytrauma Patients: A Retrospective Comparative Study |
| title_fullStr | The Effects of a Trauma Team Approach on the Management of Open Extremity Fractures in Polytrauma Patients: A Retrospective Comparative Study |
| title_full_unstemmed | The Effects of a Trauma Team Approach on the Management of Open Extremity Fractures in Polytrauma Patients: A Retrospective Comparative Study |
| title_short | The Effects of a Trauma Team Approach on the Management of Open Extremity Fractures in Polytrauma Patients: A Retrospective Comparative Study |
| title_sort | effects of a trauma team approach on the management of open extremity fractures in polytrauma patients a retrospective comparative study |
| topic | open fracture multiple trauma trauma team approach |
| url | http://www.jtraumainj.org/upload/pdf/jti-2020-0043.pdf |
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