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Master Thesis

Évaluation de critères de triage pour les traumatismes graves‎ : données du "trauma system" du réseau nord alpin des urgences (TRENAU)

Abstract : Background: The American trauma system showed its efficiency by the decrease of the mortality. The trauma system of the northen french Alps emergency network was created in this model to improve the quality of care in ours region. The goal of this work is to estimate the relevance of the triage criteria chosen by the TRENAU as predictive criteria of severity. Methods: The hospitals of the region were categorized (by level I to III) according to the available resources in the etabishment.The patients were included in the register according to the criteria defined by the conference of Vittel and classified in three groups accordind to their severity.The inital prodecure of triage integrates the level of the centers, the trauma severity and the necessity of specialized cares . We realized a prospective study from data of the register of the TRENAU to estimate the chosen triage criteria.The inclusive patients are severe injured patients, presenting one or several criteria of Vittel and were recorded in the register of the TRENAU. A methode of multiple linear regression was employed to look for factors in correlation with an Injury severity score (ISS). Results: The analysis concerned 179 patients, among which 77% male with a median age of 29 years.The study shows that the Rank A and B are strongly correlated with an ISS>15.The Ranks C correspond to one overtriage , justifying itself by the appeal to an urgent intervention (surgery or interventional radiology) in 10% of the case, and the admittance of rescucitation of more than a third of the patients. Conclusion: The Rank A and B retained by the the TRENAU to define the rank of gravity show an association with the severity of the trauma. The Rank C must be improved.
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Master Thesis
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Submitted on : Wednesday, October 12, 2011 - 3:50:55 PM
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  • HAL Id : dumas-00631527, version 1

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Cécile Gallegos. Évaluation de critères de triage pour les traumatismes graves‎ : données du "trauma system" du réseau nord alpin des urgences (TRENAU). Médecine humaine et pathologie. 2009. ⟨dumas-00631527⟩

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