@article{ref1,
title="Evidence of prolonged monitoring of trauma patients admitted via trauma resuscitation unit without primary proof of severe injuries",
journal="Journal of clinical medicine",
year="2020",
author="Heinrich, Martin and Lany, Matthias and Anastasopoulou, Lydia and Biehl, Christoph and Szalay, Gabor and Brenck, Florian and Heiss, Christian",
volume="9",
number="8",
pages="e2516-e2516",
abstract="Introduction: Although management of severely injured patients in the Trauma Resuscitation Unit (TRU) follows evidence-based guidelines, algorithms for treatment of the slightly injured are limited.   METHODS: All trauma patients in a period of eight months in a Level I trauma center were followed. Retrospective analysis was performed only in patients ≥18 years with primary TRU admission, Abbreviated Injury Scale (AIS) ≤ 1, Maximum Abbreviated Injury Scale (MAIS) ≤ 1 and Injury Severity Score (ISS) ≤3 after treatment completion and ≥24 h monitoring in the units. Cochran's Q-test was used for the statistical evaluation of AIS and ISS changes in units.   RESULTS: One hundred and twelve patients were enrolled in the study. Twenty-one patients (18.75%) reported new complaints after treatment completion in the TRU. AIS rose from the Intermediate Care Unit (IMC) to Normal Care Unit (NCU) 6.2% and ISS 6.9%. MAIS did not increase >2, and no intervention was necessary for any patient. No correlation was found between computed tomography (CT) diagnostics in TRU and AIS change.   CONCLUSIONS: The data suggest that AIS, MAIS and ISS did not increase significantly in patients without a severe injury during inpatient treatment, regardless of the type of CT diagnostics performed in the TRU, suggesting that monitoring of these patients may be unnecessary.<p /> <p>Language: en</p>",
language="en",
issn="2077-0383",
doi="10.3390/jcm9082516",
url="http://dx.doi.org/10.3390/jcm9082516"
}