[Modification of ventilation and length of stay of traumatized intensive care patients by quality and duration of preclinical management].
OBJECTIVE
The study aimed at detecting relations between the quality and duration of prehospital care in the case of traumatic patients and the duration of artificial respiration and ICU stay times.


METHODS
94 traumatic patients, admitted to the intensive care unit, were subdivided into groups according to the type of trauma. The mean time of prehospital care, injury severity score, the Apache II at the admission to the clinic and the discharge to the ICU, intraoperative replacement of blood and clinical care times were calculated.


RESULTS
In the group of all patients, times of the ICU-stay were correlated to the ISS and the Apache II of the hospital admission. In the group with multiple fractures, a positive correlation to the prehospital care times was found.


CONCLUSIONS
Quality and duration of the prehospital care were identified as factors, influencing the time of the ICU stay. Optimizing these factors will be helpful in respect of economic considerations.
Marx
T
T
Universitätsklinik für Anästhesiologie, Universität Ulm.
Wiedeck
H
H
Hähnel
J
J
Georgieff
M
M
D018806:APACHE; D000007:Abdominal Injuries / Q000145:classification / Q000628:therapy; D000293:Adolescent; D000328:Adult; D000368:Aged; D001930:Brain Injuries / Q000145:classification / Q000628:therapy; D003422:Critical Care; D005260:Female; D050723:Fractures, Bone / Q000145:classification / Q000628:therapy; D006801:Humans; D015601:Injury Severity Score; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000145:classification / Q000628:therapy*; D011785:Quality Assurance, Health Care; D012151:Resuscitation; D016896:Treatment Outcome
Beeinflussung der Beatmungs- und Liegedauer traumatisierter Intensivpatienten durch Qualität und Dauer der präklinischen Versorgung.