From: Efficacy of direct-to-operating room trauma resuscitation: a systematic review
Author | Mortality | Procedure duration |
---|---|---|
Wieck et al. [5] | Compared with the predicted survival as calculated by the TRISS model Overall (n = 82): 84% observed versus 79% predicted (p = 0.4) Penetrating (n = 48): 84% observed versus 74% predicted (p = 0.002) | Not assessed |
Steele et al. [6] | Compared with the predicted survival as calculated by the TRISS model Overall (n = 742): 75.3% observed versus 64% predicted (p < 0.001) Blunt (n = 255): 63.1% observed versus 52% predicted (p < 0.025) Penetrating (n = 487): 81.7% observed versus 71% predicted (p < 0.001) | Mean time; time to incision (p < 0.05) OR resuscitation group requiring major operation within 4 h (n = 528): 38.4 ± 1.9 min Non-OR resuscitation group requiring major operation within 4 h (n = 1664): 99.4 ± 1.1 min |
Rhodes et al. [7] | Compared with the predicted survival as calculated by the TRISS model Overall (n = 240): 70% observed versus 62% predicted (p = 0.001) Blunt (n = 183): 68% observed versus 57% predicted (p = 0.001) AIS-5 head (n = 40): 38% observed versus 19% predicted (p = 0.02) | Mean time; scene to OR 11.1 min |
Martin et al. [8] | Compared with the predicted survival as calculated by the TRISS model Overall (n = 1297): 95% observed versus 90% predicted (p = 0.01) | Median time; start surgical intervention after arrival 13 min |
Johnson et al. [9] | Compared with the predicted survival as calculated by the TRISS model Overall (n = 628): 83% observed versus 75% predicted (p < 0.01) | Median time; start surgical intervention after arrival Laparotomy: 23 min Damage control: 13 min |
Habarth-Morales et al. [10] | EDOR (n = 120): 22.5% versus no EDOR (n = 120) 15.0% (p = 0.14) | Median time; time to incision (p < 0.001) EDOR: 25.5 min; IQR, 19–38.5 No EDOR: 40 min; IQR, 28–63 |