ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022
Association between the time to definitive care and trauma patient outcomes: every minute in the golden hour matters.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Efficacy of direct-to-operating room trauma resuscitation: a systematic review.World journal of emergency surgery : WJES · 2024Pooled it
- Impact of Rural Trauma Team Development Education on Prehospital Time, Referral-to-Dispatch Interval, and Neurological and Musculoskeletal Injury Outcomes: Cluster Randomized Controlled Trial.JMIR human factors · 2026Trial
- Geospatial Optimization of Trauma Care Resource Allocation and Timely Access for Severely Injured Patients.JAMA network open · 2026Article
- Prehospital resuscitative endovascular balloon occlusion of the aorta during long-distance ground transport for traumatic liver injury: A case report.Trauma case reports · 2026Article
- Rethinking the time-to-laparotomy indicator of regional trauma center quality metrics in South Korea: a multicenter retrospective study with propensity score matching.Annals of surgical treatment and research · 2026Article
- Chinese expert consensus on the prehospital management of major trauma.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2026Article
- Time-critical care gaps and systemic delays linked to higher mortality in severe trauma patients in Tanzania.BMC emergency medicine · 2026Observational
- Key strategies in trauma anesthesia for severe hemorrhage: a narrative review.Korean journal of anesthesiology · 2026Review
- Challenging convention: a secondary data analysis of circulation-first versus airway-first triage in trauma patients receiving blood transfusions.Trauma surgery & acute care open · 2026Article
- Effects of the medical professional shortage caused by a resident walkout on scene-to-door time: a retrospective cohort study at a trauma center.Journal of trauma and injury · 2025Article
- Disparities in Access to Trauma Care in Canada: A Geospatial Analysis of Census Data.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Article
- Polytrauma-related deaths in Moscow: Retrospective analysis of 969 autopsy studies.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025Article
- The Interface of Trauma Surgery and Interventional Radiology: The Trauma Surgeon's Perspective.Seminars in interventional radiology · 2025Review
- Review
- Clinical outcomes of the implementation of acute care surgery system in South Korea: a multi-centre, retrospective cohort study.ANZ journal of surgery · 2025Article
- Retrospective analysis of trauma patients transported by dispatch monitored type B ambulances to Dhulikhel Hospital, Kavre, Nepal, 2019-2023.International journal of emergency medicine · 2025Article
- Emergency care knowledge, utilization, and barriers in Northern Tanzania: A community-based survey.PLOS global public health · 2025Article
- Combined effect of intermittent hemostasis and a modified external hemorrhage control device in a lethal swine model.Heliyon · 2024Article
- Association between Time to Emergent Surgery and Outcomes in Trauma Patients: A 10-Year Multicenter Study.Medicina (Kaunas, Lithuania) · 2024Article
- What trauma patients need: the European dilemma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Review
Corrections and comments
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Authors and funding
13 authors.
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Abstract
purposeThis study examined the association between lapsed time and trauma patients, suggesting that a shorter time to definitive care leads to a better outcome.
methodsWe 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.
resultsThe mean time from injury to definitive care was 1.28 ± 0.69 h, with cases categorized into the following subgroups: < 30, 30-60, 60-90, and 90-120 min. For all patients, a longer interval was positively associated with the 30 day mortality rate (p = 0.053) and poor functional outcome (p < 0.05). Subgroup analyses showed the same association in the major trauma (n = 321, p < 0.05) and torso injury groups (n = 388, p < 0.01) with the 30 day mortality rate and in the major trauma (p < 0.01), traumatic brain injury (n = 741, p < 0.05), and torso injury (p < 0.05) groups with the poor functional outcome.
conclusionEven within 2 h, a shorter time to definitive care is positively associated with patient survival and functional outcome, especially in the subgroups of major trauma and torso injury.
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