ArticleBurns & trauma2019
Timely completion of multiple life-saving interventions for traumatic haemorrhagic shock: a retrospective cohort study.
Article in Burns & trauma, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 24 citations in OpenAlex.
- High ratio of plasma to red cells in contemporary resuscitation of haemorrhagic shock after trauma: a secondary analysis of the PATCH-trauma trial.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Trial
- Validation of a Wearable Photoplethysmography-Based Sensor for Compensatory Reserve Measurement Monitoring in Simulated Human Hemorrhage.Sensors (Basel, Switzerland) · 2026Article
- Development of an algorithm for adjudicating actionable hemorrhage in pediatric trauma patients.The journal of trauma and acute care surgery · 2025Article
- Improving prediction accuracy of hospital arrival vital signs using a multi-output machine learning model: a retrospective study of JSAS-registry data.BMC emergency medicine · 2025Article
- Occupation, displacement, and violence in the West Bank: A retrospective analysis of data from 2014-2024.PLOS global public health · 2025Article
- Prehospital mSOFA Score for Quick Prediction of Life-Saving Interventions and Mortality in Trauma Patients: A Prospective, Multicenter, Ambulance-based, Cohort Study.The western journal of emergency medicine · 2023Article
- Clinical Practices Following Train-The-Trainer Trauma Course Completion in Uganda: A Parallel-Convergent Mixed-Methods Study.World journal of surgery · 2023Article
- Multi-disciplinary, simulation-based, standardised trauma team training within the Victorian State Trauma System.Emergency medicine Australasia : EMA · 2023Article
- A short decision time for transcatheter embolization can better associate mortality in patients with pelvic fracture: a retrospective study.Frontiers in medicine · 2023Article
- Clinical application of a body area network-based smart bracelet for pre-hospital trauma care.Frontiers in medicine · 2023Article
- The direct medical cost of trauma aetiologies and injuries in a resource limited setting of Papua New Guinea: A prospective cost of illness study.The Lancet regional health. Western Pacific · 2022Article
- Clinical Effect of Nursing Based on the Kano Model in Emergency Multiple Injuries.Evidence-based complementary and alternative medicine : eCAM · 2022Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEarly control of haemorrhage and optimisation of physiology are guiding principles of resuscitation after injury. Improved outcomes have been previously associated with single, timely interventions. The aim of this study was to assess the association between multiple timely life-saving interventions (LSIs) and outcomes of traumatic haemorrhagic shock patients.
methodsA retrospective cohort study was undertaken of injured patients with haemorrhagic shock who presented to Alfered Emergency & Trauma Centre between July 01, 2010 and July 31, 2014. LSIs studied included chest decompression, control of external haemorrhage, pelvic binder application, transfusion of red cells and coagulation products and surgical control of bleeding through angio-embolisation or operative intervention. The primary exposure variable was timely initiation of ≥ 50% of the indicated interventions. The association between the primary exposure variable and outcome of death at hospital discharge was adjusted for potential confounders using multivariable logistic regression analysis. The association between total pre-hospital times and pre-hospital care times (time from ambulance at scene to trauma centre), in-hospital mortality and timely initiation of ≥ 50% of the indicated interventions were assessed.
resultsOf the 168 patients, 54 (32.1%) patients had ≥ 50% of indicated LSI completed within the specified time period. Timely delivery of LSI was independently associated with improved survival to hospital discharge (adjusted odds ratio (OR) for in-hospital death 0.17; 95% confidence interval (CI) 0.03-0.83;
conclusionsTimely completion of LSI when indicated was completed in a small proportion of patients and reflects previous research demonstrating delayed processes and errors even in advanced trauma systems. Timely delivery of a high proportion of LSIs was associated with improved outcomes among patients presenting with haemorrhagic shock after injury. Provision of LSIs in the pre-hospital phase of trauma care has the potential to improve outcomes.
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