%0 Journal Article
%T Trauma management incorporating focused assessment with computed tomography in trauma (FACTT) - potential effect on survival
%A Karl-Georg Kanz
%A April O Paul
%A Rolf Lefering
%A Mike V Kay
%A Uwe Kreimeier
%A Ulrich Linsenmaier
%A Wolf Mutschler
%A Stefan Huber-Wagner
%A the Trauma Registry of the German Trauma Society
%J Journal of Trauma Management & Outcomes
%D 2010
%I BioMed Central
%R 10.1186/1752-2897-4-4
%X In a retrospective, multicentre study, we compared our time management and probability of survival (Ps) in major trauma patients who received FACTT during trauma resuscitation with the trauma registry of the German Trauma Society (DGU). FACTT is defined as whole-body computed tomography (WBCT) during primary trauma survey. We determined the probability of survival according to the Trauma and Injury Severity Score (TRISS), the Revised Injury Severity Classification score (RISC) and the standardized mortality ratio (SMR).We analysed 4.817 patients from the DGU database from 2002 until 2004, 160 (3.3%) were from our trauma centre at the Ludwig-Maximilians-University (LMU) and 4.657 (96.7%) from the DGU group. 73.2% were male with a mean age of 42.5 years, a mean ISS of 29.8. 96.2% had suffered from blunt trauma. Time from admission to FAST (focused assessment with sonography for trauma)(4.3 vs. 8.7 min), chest x-ray (8.1 vs. 16.0 min) and whole-body CT (20.7 vs. 36.6 min) was shorter at the LMU compared to the other trauma centres (p < 0.001). SMR calculated by TRISS was 0.74 (CI95% 0.40-1.08) for the LMU (p = 0.24) and 0.92 (CI95% 0.84-1.01) for the DGU group (p = 0.10). RISC methodology revealed a SMR of 0.69 (95%CI 0.47-0.92) for the LMU (p = 0.043) and 1.00 (95%CI 0.94-1.06) for the DGU group (p = 0.88).Trauma management incorporating FACTT enhances a rapid response to life-threatening problems and enables a comprehensive assessment of the severity of each relevant injury. Due to its speed and accuracy, FACTT during primary trauma survey supports rapid decision-making and may increase survival.In central European trauma centres there is an increasing trend towards focused assessment with computed tomography in trauma (FACTT) [1,2]. According to the annual report 2008 of the German trauma registry, more than 44.9% reporting trauma centres utilize whole-body computed tomography (WBCT) in major trauma due to its speed and accuracy [3].In 1997 L£¿w was the first to cons
%U http://www.traumamanagement.org/content/4/1/4