Noemi di Fuccia (Rome / IT), Grazia Maria Attinà (Rome / IT), Stefano Manfroni (Rome / IT), Carla di Cosimo (Rome / IT), Marco Bellucci (Rome / IT), Gabriele Ricci (Rome / IT)
Introduction: Starting from 2021, in the metropolitan area of Lazio (in Italian region, based on a "hub-and-spoke" organization) a "trauma network" was established with the aim of standardizing the treatment, the timing of stabilization procedures and the definitive strategy based on the patient's clinical condition and the optimal therapeutic surgical window. Furthermore, the appropriateness of primary and secondary centralization activities could be enhanced in accordance with timing and therapeutic indication. Our goal was to evaluate and compare the appropriate centralization within the "Lazio Severe Trauma Network" in relation to pathways that do not conform to regional standards. Materials and Methods: this retrospective study includes all major abdominal traumas admitted to our Trauma Center between January 2021 and July 2023 (136). 3 groups of patients were studied: patients undergoing primary centralization (C1), secondary centralization after surgical stabilization at the Non-Trauma-Center (NTC) (C2a), patients undergoing secondary centralization after undergoing radiological investigations at the NTC (C2b). Results: A comparative analysis was performed among the three groups, examining the statistical significance between ISS, mortality, surgical and medical complications. Our analysis does not demonstrate a significant relationship between ISS and the mortality of among three groups, but it does reveal a significant association between ISS and complications among the patients of the group C2b ( p < 0.002), suggesting that a delay in surgical procedures may lead to worse outcomes. Conclusions: a "trauma system," defined as a trauma network, is essential to optimize care and centralization is a "gold standard" in trauma care. The data supports centralization and its positive impacts on quality of care. References: Vonlanthen et al. (2018). Toward a consensus on centralization in surgery. Annals of Surgery. 268(5), 712–724.
NO
We use cookies on our website. Cookies are small (text) files that are created and stored on your device (e.g., smartphone, notebook, tablet, PC). Some of these cookies are technically necessary to operate the website, other cookies are used to extend the functionality of the website or for marketing purposes. Apart from the technically necessary cookies, you are free to allow or not allow cookies when visiting our website.