Mayra Rebeka Abad-Camacho (Barcelona / ES), Antonio Egidos Plaja (Barcelona / ES), Gemma Bosch-Silvela (Barcelona / ES), Eduardo José Luque-Villalobos (Barcelona / ES), Juan Pablo Rodríguez-González (Barcelona / ES), Juan Guzmán-Ahumada (Barcelona / DE; Barcelona / ES), Ana María Gonzalez Castillo (Barcelona / ES; Barcelona / DE), Amalia Pelegrina Manzano (Barcelona / DE; Barcelona / ES), Yolanda Díaz-Buendia (Barcelona / ES; Barcelona / DE), Dolors Giró-Formatger (Barcelona / ES), Estela Membrilla Fernández (Barcelona / ES; Barcelona / DE)
Abstract text (incl. references and figure legends)
ITRODUCTION AND PURPOSE Assess quality of care and prognosis of trauma patients through 3 assistance times: time from arrival to hospital to revision by medical team, time from arrival to imaging techniques, and time from arrival to patient endpoint; and 2 evolution indicators: hemodynamic instability between arrival at emergency department and 10 minutes from arrival, and hemoglobin worsening between blood test at arrival and the second blood test at emergency department.
METHODS Participants in this cross-sectional study were 538 individuals attended under activation of Polytraumatic Patient (PPT) code in Hospital del Mar in Barcelona, between October 2020 and October 2021. Between October 2020 and February 2022 data was completed to a prospectively maintained database from hospital data records, subsequently at the hospital discharge.
RESULTS In a group with low-severity (ISS<15 487 [90.5%]) and low-priority (priority 2-3 468 [87%]) profile, with and extremely low mortality (9 [1.7%]), no significative associations between in-hospital assistance times or evolution indicators, mortality, complications or length of hospital stay, were found.
CONCLUSION
- ISS (Injury Severity Score), RTS (Revised Trauma Score) and hemodynamic instability continue to be indicators of prognosis and severity.
- The time of care may not be a great prognostic factor in a center like ours because we are already below the threshold of mortality, complications and days of hospital stay.
- Using acute times of care in polytraumatics in high-volume centers does not demonstrate a significant association with final prognosis and studies that should be considered longer time measures, especially those that include non-acute time and hospital stays after critical care.
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