Outcomes of Multi-Trauma Road Traffc Crashes at a Tertiary Hospital in Oman Does attendance by trauma surgeons versus non-trauma surgeons make a difference?
Journal Title: Sultan Qaboos University Medical Journal - Year 2017, Vol 17, Issue 2
Abstract
Objectives: Trauma surgeons are essential in hospital-based trauma care systems. However, there are limited data regarding the impact of their presence on the outcome of multi-trauma patients. Tis study aimed to assess the outcomes of multi-trauma road trafc crash (RTC) cases attended by trauma surgeons versus those attended by non-trauma surgeons at a tertiary hospital in Oman. Methods: Tis retrospective study was conducted in December 2015. A previously published cohort of 821 multi-trauma RTC patients admitted between January and December 2011 to the Sultan Qaboos University Hospital, Muscat, Oman, were reviewed for demographic, injury and hospitalisation data. In-hospital mortality constituted the main outcome, with admission to the intensive care unit, operative management, intubation and length of stay constituting secondary outcomes. Results: A total of 821 multi-trauma RTC cases were identifed; of these, 60 (7.3%) were attended by trauma surgeons. Tere was no signifcant difference in mortality between the two groups (P = 0.35). However, patients attended by trauma surgeons were signifcantly more likely to be intubated, admitted to the ICU and undergo operative interventions (P <0.01 each). Te average length of hospital stay in both groups was similar (2.6 versus 2.8 days; P = 0.81). Conclusion: No difference in mortality was observed between multi-trauma RTC patients attended by trauma surgeons in comparison to those cared for by non-trauma surgeons at a tertiary centre in Oman.
Authors and Affiliations
Ammar Al-Kashmiri| Department of Emergency Medicine, Khoula Hospital, Muscat, Oman, Sultan Z. Al-Shaqsi| Division of Plastic & Reconstructive Surgery, University of Toronto, Toronto, Ontario, Canada, Nada Al-Marhoobi| Ear, Nose & Troat Residency Programme, Oman Medical Specialty Board, Muscat, Oman, Mahmood Hasan| Emergency Medicine Royal College Residency Training Programme, McGill University, Montreal, Quebec, Canada
Keywords
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- EP ID EP14773
- DOI 10.18295/squmj.2016.17.02.010
- Views 336
- Downloads 17
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