Universität zu Köln

Driessen, A., Schaefer, N., Albrecht, V., Schenk, M., Froehlich, M., Stuermer, E. K. and Maegele, M. (2015). Infrastructure and clinical practice for the detection and management of trauma-associated haemorrhage and coagulopathy. Eur. J. Trauma Emerg. Surg., 41 (4). S. 413 - 421. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1863-9941

Full text not available from this repository.

Abstract

Early detection and management of post-traumatic haemorrhage and coagulopathy have been associated with improved outcomes, but local infrastructures, logistics and clinical strategies may differ. To assess local differences in infrastructure, logistics and clinical management of trauma-associated haemorrhage and coagulopathy, we have conducted a web-based survey amongst the delegates to the 15th European Congress of Trauma and Emergency Surgery (ECTES) and the 2nd World Trauma (WT) Congress held in Frankfurt, Germany, 25-27 May 2014. 446/1,540 delegates completed the questionnaire yielding a response rate of 29 %. The majority specified to work as consultants/senior physicians (47.3 %) in general (36.1 %) or trauma/orthopaedic surgery (44.5 %) of level I (70 %) or level II (19 %) trauma centres. Clinical assessment (> 80 %) and standard coagulation assays (74.6 %) are the most frequently used strategies for early detection and monitoring of bleeding trauma patients with coagulopathy. Only 30 % of the respondents declared to use extended coagulation assays to better characterise the bleeding and coagulopathy prompted by more individualised treatment concepts. Most trauma centres (69 %) have implemented local protocols based on international and national guidelines using conventional blood products, e.g. packed red blood cell concentrates (93.3 %), fresh frozen plasma concentrates (93.3 %) and platelet concentrates (83 %), and antifibrinolytics (100 %). 89 % considered the continuous intake of anticoagulants including new oral anticoagulants and platelet inhibitors as an increasing threat to bleeding trauma patients. This study confirms differences in infrastructure, logistics and clinical practice for the detection and management of trauma-haemorrhage and trauma-associated coagulopathy amongst international centres. Ongoing work will focus on geographical differences.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Driessen, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schaefer, N. UNSPECIFIED UNSPECIFIED UNSPECIFIED Albrecht, V. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schenk, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Froehlich, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Stuermer, E. K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Maegele, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-397537
DOI:	10.1007/s00068-014-0455-y
Journal or Publication Title:	Eur. J. Trauma Emerg. Surg.
Volume:	41
Number:	4
Page Range:	S. 413 - 421
Date:	2015
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1863-9941
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language FRESH-FROZEN PLASMA; MASSIVE TRANSFUSION; WHOLE-BLOOD; MORTALITY; PROTOCOL; THERAPY; BENEFIT; DEATHS; RATIOS; RISK Multiple languages Emergency Medicine Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/39753