Geriatric Polytrauma SOP

Geriatrics Clinical Trial

Official title:

Implementation of New Standard Operating Procedures for Geriatric Trauma Patients With Multiple Injuries

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03319381
• Other study ID #: USZ-TRA-SPRKA001
• Status: Completed
• Phase: N/A
• First received: October 17, 2017
• Last updated: October 23, 2017
• Start date: January 1, 2000
• Est. completion date: December 31, 2012

Study information

• Verified date: October 2017
• Source: University of Zurich
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

Clinical Trial Summary

This study investigated whether there were improvements in the in-hospital mortality, infection rate, and rate of palliative care among geriatric trauma patients after the implementation of new standard operating procedures (SOPs) for the resuscitation room. These new SOPs, comprising early whole-body computed tomography (CT), damage control surgery, and the use of goal-directed coagulation management, were designed for severely injured adult trauma patients

Description:

This study involved the analysis of a prospective single-centre database. Patients admitted via the resuscitation room with need for intensive care treatment after the resuscitation room phase were included and compared before the implementation of the new SOPs (between 1 January, 2000 and 31 December, 2006) and after their implementation in 2009 (between 1 January, 2010 and 31 December, 2012) of our level-I trauma centre.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 311
• Est. completion date: December 31, 2012
• Est. primary completion date: December 31, 2012
• Accepts healthy volunteers: No
• Gender: All
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

Inclusion in internal trauma database

Exclusion Criteria:

Comprised age < 65 years, ISS < 9, and transfers from other hospitals.

Related Conditions & MeSH terms

• Geriatrics

Intervention

Behavioral:
• Following new SOPs
The new SOPs comprised early whole-body CT, damage control surgery, and the use of goal-directed coagulation management and are based on the ATLS® concept, which was the strictly followed protocol before implementation of the new SOPs

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
University of Zurich

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	In-hospital mortality	In-hospital mortality	30 days
Secondary	Infections	Infections	30 days
Secondary	Rate of palliative care	Rate of palliative care	30 days