OUTCOMES OF SEVERE TRAUMA PATIENTS BEFORE AND AFTER INITIATION OF THE JAPAN ADVANCED TRAUMA EVALUATION AND CARE PROGRAM

Abstract

　　We retrospectively investigated our clinical performances and trauma outcomes before and after the institution of the Japan Advanced Trauma Evaluation and Care (JATEC) program.

　　There were 198 patients before JATEC and 297 patients after JATEC. Overall mortality decreased and minor and moderate severity (ISS≦24) mortalities significantly decreased post-JATEC. No difference was identified in modified unexpected mortality (n=8, 36.4% vs. n=5, 29.4%). Among severe trauma patients (ISS≧25), there was no difference in mortality without resuscitative intervention before versus after the JATEC program, but mortality with resuscitative intervention tended to decrease after versus before the JATEC program. There was no difference in the time to initiate resuscitative intervention.

　　There is still room for improvement of our clinical system for severe trauma patients.