Ontology type: schema:ScholarlyArticle
1997-11
AUTHORSS. Ruchholtz, B. Zintl, D. Nast-Kolb, C. Waydhas, D. Schwender, K. J. Pfeifer, L. Schweiberer
ABSTRACTTo enhance the quality of treatment of patients with multiple injuries (blunt trauma), guidelines for the acute clinical management (trauma-algorithm) were implemented at our clinic in 1994. The impact of these guidelines was analysed, comparing two prospectively recorded collectives of polytraumatized patients 4/1988–12/1993 (A; n = 126) and 1/1994–6/1996 (B; n = 74). Nine specifically defined parameters were used to assess the therapeutic process of early clinical trauma management. All parameters showed an improvement after implementation of the algorithm (group B): (1) Complete radiological and sonographic basic diagnostics in 97 % vs. 92 % of patients; (2) time interval of 38 min vs. 55 min until cranial CT was done after severe head injury (GCS < 10); (3) reduction of delayed diagnosis of lesions to 5 % vs. 24 %; (4) duration of 16 min vs. 20 min until intubation; (5) period of 23 min to 30 min to pleural drainage; (6) duration of 18 min vs. 32 min until transfusion in shock; (7) period of 79 min vs. 98 min until emergency operation in shock; (8) duration of 95 min vs. 124 min until trepanation, and (9) operation rate within 24 h after admission to ICU in 3 % vs. 12 %. The lethality rates of each collective were assessed after subdivision in three groups (I–III) with middle (ISS: 18–24), high (ISS: 25–49) and extreme (ISS: 50–75) injury severity. In all groups of both collectives ISS values, age, initial loss of consciousness (GCS) and shock were comparable (except the higher injury severity of collective B in group I). In all groups a reduction of lethality could be shown for collective B: Group I, 0 % vs. 20 % (P < 0.05); group II, 8 % vs. 24 % (P < 0.05); and group III, 40 % vs. 71 %, not significant because of the small group in B (n = 5). The implementation of therapeutic management guidelines led to an improvement of both treatment processes and outcome. In order to regularly reassess validity and practicability of such guidelines as well as further enhance therapeutic quality, a continuous evaluation programme representing a quality management system should be inaugurated. More... »
PAGES859-866
http://scigraph.springernature.com/pub.10.1007/s001130050205
DOIhttp://dx.doi.org/10.1007/s001130050205
DIMENSIONShttps://app.dimensions.ai/details/publication/pub.1041231417
PUBMEDhttps://www.ncbi.nlm.nih.gov/pubmed/9480555
JSON-LD is the canonical representation for SciGraph data.
TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT
[
{
"@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json",
"about": [
{
"id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11",
"inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/",
"name": "Medical and Health Sciences",
"type": "DefinedTerm"
},
{
"id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103",
"inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/",
"name": "Clinical Sciences",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Adult",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Algorithms",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Brain Injuries",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Critical Care",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Female",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Humans",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Injury Severity Score",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Male",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Middle Aged",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Multiple Trauma",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Practice Guidelines as Topic",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Survival Analysis",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Time and Motion Studies",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Tomography Scanners, X-Ray Computed",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Total Quality Management",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Treatment Outcome",
"type": "DefinedTerm"
}
],
"author": [
{
"affiliation": {
"alternateName": "Chirurgische Klinik und Poliklinik Klinikum Innenstadt \u2022, XX",
"id": "http://www.grid.ac/institutes/None",
"name": [
"Chirurgische Klinik und Poliklinik Klinikum Innenstadt \u2022, XX"
],
"type": "Organization"
},
"familyName": "Ruchholtz",
"givenName": "S.",
"id": "sg:person.01243445550.68",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01243445550.68"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "Chirurgische Klinik und Poliklinik Klinikum Innenstadt \u2022, XX",
"id": "http://www.grid.ac/institutes/None",
"name": [
"Chirurgische Klinik und Poliklinik Klinikum Innenstadt \u2022, XX"
],
"type": "Organization"
},
"familyName": "Zintl",
"givenName": "B.",
"id": "sg:person.01271723145.72",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01271723145.72"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "Chirurgische Klinik und Poliklinik Klinikum Innenstadt \u2022, XX",
"id": "http://www.grid.ac/institutes/None",
"name": [
"Chirurgische Klinik und Poliklinik Klinikum Innenstadt \u2022, XX"
],
"type": "Organization"
},
"familyName": "Nast-Kolb",
"givenName": "D.",
"id": "sg:person.01247004507.31",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01247004507.31"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "Chirurgische Klinik und Poliklinik Klinikum Innenstadt \u2022, XX",
"id": "http://www.grid.ac/institutes/None",
"name": [
"Chirurgische Klinik und Poliklinik Klinikum Innenstadt \u2022, XX"
],
"type": "Organization"
},
"familyName": "Waydhas",
"givenName": "C.",
"id": "sg:person.065766363.01",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.065766363.01"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "Institut f\u00fcr An\u00e4sthesiologie Klinikum Innenstadt, XX",
"id": "http://www.grid.ac/institutes/None",
"name": [
"Institut f\u00fcr An\u00e4sthesiologie Klinikum Innenstadt, XX"
],
"type": "Organization"
},
"familyName": "Schwender",
"givenName": "D.",
"id": "sg:person.01341771125.62",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01341771125.62"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "Abteilung f\u00fcr Radiologische Diagnostik, Chirurgische Klinik und Poliklinik Klinikum Innenstadt, Ludwig-Maximilians-Universit\u00e4t M\u00fcnchen, XX",
"id": "http://www.grid.ac/institutes/grid.5252.0",
"name": [
"Abteilung f\u00fcr Radiologische Diagnostik, Chirurgische Klinik und Poliklinik Klinikum Innenstadt, Ludwig-Maximilians-Universit\u00e4t M\u00fcnchen, XX"
],
"type": "Organization"
},
"familyName": "Pfeifer",
"givenName": "K. J.",
"id": "sg:person.0616365025.48",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0616365025.48"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "Chirurgische Klinik und Poliklinik Klinikum Innenstadt \u2022, XX",
"id": "http://www.grid.ac/institutes/None",
"name": [
"Chirurgische Klinik und Poliklinik Klinikum Innenstadt \u2022, XX"
],
"type": "Organization"
},
"familyName": "Schweiberer",
"givenName": "L.",
"id": "sg:person.01264425106.78",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01264425106.78"
],
"type": "Person"
}
],
"datePublished": "1997-11",
"datePublishedReg": "1997-11-01",
"description": "To enhance the quality of treatment of patients with multiple injuries (blunt trauma), guidelines for the acute clinical management (trauma-algorithm) were implemented at our clinic in 1994. The impact of these guidelines was analysed, comparing two prospectively recorded collectives of polytraumatized patients 4/1988\u201312/1993 (A; n = 126) and 1/1994\u20136/1996 (B; n = 74). Nine specifically defined parameters were used to assess the therapeutic process of early clinical trauma management. All parameters showed an improvement after implementation of the algorithm (group B): (1) Complete radiological and sonographic basic diagnostics in 97 % vs. 92 % of patients; (2) time interval of 38 min vs. 55 min until cranial CT was done after severe head injury (GCS < 10); (3) reduction of delayed diagnosis of lesions to 5 % vs. 24 %; (4) duration of 16 min vs. 20 min until intubation; (5) period of 23 min to 30 min to pleural drainage; (6) duration of 18 min vs. 32 min until transfusion in shock; (7) period of 79 min vs. 98 min until emergency operation in shock; (8) duration of 95 min vs. 124 min until trepanation, and (9) operation rate within 24 h after admission to ICU in 3 % vs. 12 %. The lethality rates of each collective were assessed after subdivision in three groups (I\u2013III) with middle (ISS: 18\u201324), high (ISS: 25\u201349) and extreme (ISS: 50\u201375) injury severity. In all groups of both collectives ISS values, age, initial loss of consciousness (GCS) and shock were comparable (except the higher injury severity of collective B in group I). In all groups a reduction of lethality could be shown for collective B: Group I, 0 % vs. 20 % (P < 0.05); group II, 8 % vs. 24 % (P < 0.05); and group III, 40 % vs. 71 %, not significant because of the small group in B (n = 5). The implementation of therapeutic management guidelines led to an improvement of both treatment processes and outcome. In order to regularly reassess validity and practicability of such guidelines as well as further enhance therapeutic quality, a continuous evaluation programme representing a quality management system should be inaugurated.",
"genre": "article",
"id": "sg:pub.10.1007/s001130050205",
"inLanguage": "de",
"isAccessibleForFree": false,
"isPartOf": [
{
"id": "sg:journal.1095301",
"issn": [
"0177-5537",
"1433-044X"
],
"name": "Der Unfallchirurg",
"publisher": "Springer Nature",
"type": "Periodical"
},
{
"issueNumber": "11",
"type": "PublicationIssue"
},
{
"type": "PublicationVolume",
"volumeNumber": "100"
}
],
"keywords": [
"multiple injuries",
"acute clinical management",
"severe head injury",
"quality improvement guidelines",
"reduction of lethality",
"diagnosis of lesions",
"quality of treatment",
"pleural drainage",
"vs. 24",
"cranial CT",
"head injury",
"clinical management",
"early treatment",
"injury severity",
"vs. 20",
"group II",
"trauma management",
"emergency operation",
"group I",
"lethality rate",
"group III",
"patients",
"management guidelines",
"injury",
"ISS values",
"basic diagnostics",
"duration",
"guidelines",
"therapeutic qualities",
"such guidelines",
"operation rate",
"treatment",
"therapeutic process",
"group",
"min",
"transfusion",
"intubation",
"ICU",
"admission",
"improvement guidelines",
"clinic",
"lesions",
"management",
"evaluation program",
"diagnosis",
"severity",
"CT",
"initial loss",
"time interval",
"shock",
"age",
"outcomes",
"period",
"small group",
"rate",
"reduction",
"drainage",
"trepanation",
"improvement",
"lethality",
"interval",
"quality",
"loss",
"diagnostics",
"program",
"consciousness",
"impact",
"validity",
"subdivision",
"quality management system",
"values",
"parameters",
"treatment process",
"implementation",
"middle",
"operation",
"process",
"system",
"collective",
"quality management",
"order",
"practicability",
"management system",
"algorithm"
],
"name": "Quality management in the early treatment of patients with multiple injuries. II. Quality improvement guidelines",
"pagination": "859-866",
"productId": [
{
"name": "dimensions_id",
"type": "PropertyValue",
"value": [
"pub.1041231417"
]
},
{
"name": "doi",
"type": "PropertyValue",
"value": [
"10.1007/s001130050205"
]
},
{
"name": "pubmed_id",
"type": "PropertyValue",
"value": [
"9480555"
]
}
],
"sameAs": [
"https://doi.org/10.1007/s001130050205",
"https://app.dimensions.ai/details/publication/pub.1041231417"
],
"sdDataset": "articles",
"sdDatePublished": "2022-05-10T09:50",
"sdLicense": "https://scigraph.springernature.com/explorer/license/",
"sdPublisher": {
"name": "Springer Nature - SN SciGraph project",
"type": "Organization"
},
"sdSource": "s3://com-springernature-scigraph/baseset/20220509/entities/gbq_results/article/article_297.jsonl",
"type": "ScholarlyArticle",
"url": "https://doi.org/10.1007/s001130050205"
}
]Download the RDF metadata as: json-ld nt turtle xml License info
JSON-LD is a popular format for linked data which is fully compatible with JSON.
curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s001130050205'
N-Triples is a line-based linked data format ideal for batch operations.
curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s001130050205'
Turtle is a human-readable linked data format.
curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s001130050205'
RDF/XML is a standard XML format for linked data.
curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s001130050205'
This table displays all metadata directly associated to this object as RDF triples.
257 TRIPLES
21 PREDICATES
127 URIs
119 LITERALS
23 BLANK NODES