ArticleSurgery today2019
Experienced trauma team leaders save the lives of multiple-trauma patients with severe head injuries.
Article in Surgery today, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- [The Cardiac Arrest Receiving Team based on the Freiburg model : Structuring of postresuscitation care following nontraumatic, out-of-hospital cardiac arrest in an interdisciplinary team].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026Review
- Future perspectives of higher standards for trauma teams' organization, support, and evaluation.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Review
- The effect of an on-site trauma surgeon during resuscitations of severely injured patients.BMC emergency medicine · 2022Article
- The pace of a trauma resuscitation: experience matters.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- [Effect of implementation of a trauma leader on process parameters for polytrauma treatment in the shock room of a tertiary care hospital].Der Anaesthesist · 2020Article
- [Freiburg Cardiac Arrest Receiving Team (CART) : Interdisciplinary solution for the acute management of non-traumatic out-of-hospital cardiac arrest].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
The trauma team leader is a professional who receives and treats trauma patients. We aimed to evaluate whether or not the seniority of a qualified trauma team leader was a prognostic factor for multiple-trauma patients managed by a trauma team. This was a retrospective cohort study conducted at a Level I Trauma Center in North Taiwan. From January 2009 to December 2013, 284 patients were randomly assigned to one of two trauma team leaders (junior and senior leaders) on duty, irrespective of the seniority of the qualified trauma team leader. All parameters were collected and compared between these two groups. In the subgroup of multiple-trauma patients with Glasgow Coma Scale (GCS) ≤ 8, there were significant differences in the injury severity score, revised trauma score, and seniority of the leader between the alive and dead groups. A multivariate logistic regression analysis showed that the seniority of the trauma team leader was an important mortality risk factor [odds ratio (OR): 14.529, 95% confidence interval (CI) 1.683-125.429, p = 0.015] in patients with GCS ≤ 8. However, in patients with GCS > 8, age was the only independent risk factor [OR: 1.055, 95% CI 1.023-1.087, p = 0.001]. The seniority of the qualified trauma leader is important for teamwork, organization, and efficiency, all of which play an important role in improving the survival outcome of patients with GCS ≤ 8.
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