PISTACHIO (Primary Trauma Care Course Impact & Outcome): A prospective before and after intervention study of the Primary Trauma Care course effect on road trauma morbidity and mortality in two Vietnamese hospitals.
Ba Tuan Nguyen, C Leigh Blizzard, Andrew Palmer, Huu Tu Nguyen, Quyet Thang Cong, Viet Tran, Toi Lam Phung, Marcus Skinner, Haydn Perndt, Mark R Nelson
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引用次数: 0
Abstract
Background: Road trauma is a major public health problem in Vietnam. The Vietnamese medical education system is deficient in providing education to address this. The Primary Trauma Care (PTC) course has been used but not yet been evaluated for its impact on patient outcomes'. We conducted this study to assess the impact of the PTC course on patient outcomes in 2 local hospitals in Vietnam.
Methods: The research was a prospective before and after intervention study. The intervention (PTC course) was run over 2 days in 2021. The outcomes reported here are mortality at 24 hours, 30 days, and length of hospital stay. Univariate analyses were conducted using χ2 to investigate the effectiveness of the course. Multivariate analysis was also taken to control for confounding factors. Fisher's exact test was used to discern statistical significance.
Result: The PTC course halved 24-hour and 30-day mortality from 2.9 % and 4.6 % in the pre-course to 1.0 % and 2.4 % in the post-course period respectively (p < 0.01). However, it failed to shorten the length of hospital stay from 9.0 ± 7.8-8.2 ± 7.1 days (p = 0.458).
Conclusion: The PTC course was effective in two Vietnamese hospitals in improving road trauma survival without reducing the length of hospital stay.
期刊介绍：
Australasian Emergency Care is an international peer-reviewed journal dedicated to supporting emergency nurses, physicians, paramedics and other professionals in advancing the science and practice of emergency care, wherever it is delivered. As the official journal of the College of Emergency Nursing Australasia (CENA), Australasian Emergency Care is a conduit for clinical, applied, and theoretical research and knowledge that advances the science and practice of emergency care in original, innovative and challenging ways. The journal serves as a leading voice for the emergency care community, reflecting its inter-professional diversity, and the importance of collaboration and shared decision-making to achieve quality patient outcomes. It is strongly focussed on advancing the patient experience and quality of care across the emergency care continuum, spanning the pre-hospital, hospital and post-hospital settings within Australasia and beyond.
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