Abstract
Objective To explore the value of trauma-care check list (TCC) and quick sequential organ failure assessment (qSOFA) on the early diagnosis of severe trauma with sepsis, and analyze the treatment time lines. Methods Totally 120 patients with severe trauma treated in Taizhou People's Hospital from February 2017 to January 2018 were reviewed. Sixty cases adopted TCC and qSOFA trauma care integration process (integration group), and the rest 60 cases adopted systemic inflammatory response syndrome (SIRS) score and emergency surgery multi-section support process (traditional group). According to the 2016 International Sepsis Guide Criteria, the diagnostic sensitivity and specific degrees of the two groups were calculated. The treatment time node, blood loss, complication rate, postoperative survival rate, and the total length of hospital stay of the two groups were analyzed. Results Of the 60 cases in the integration group, 32 cases were confirmed severe trauma with sepsis, and 27 cases were confirmed in 41 primary diagnosed patients, with a diagnostic sensitivity of 84.38% and a specific degree of 50.00%. In the traditional group, 30 cases were confirmed severe trauma with sepsis, and 25 cases were confirmed in 38 primary diagnosed patients with a diagnostic sensitivity of 83.33% and a specific degree of 56.67%. The significant shorter MDT consultation time, primary diagnosis time of sepsis, the duration from injury to surgery time and total hospitalization time were statistically significant different between the two groups (P 0.05). Conclusions TCC and qSOFA score in the treatment of severe trauma can optimize salvage process, significantly shorten the treatment time, and reduce postoperative complications. Moreover, qSOFA score and SIRS score have the same effect on the early diagnosis of sepsis in patients with severe trauma. Key words: Trauma-care check list; Quick sequential organ failure assessment; Sepsis; Trauma
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.