Table 2 Prehospital and inhospital management (*only data from standard documentation forms were used since the QM documentation form does not include relevant parameters); GCS = Glasgow Coma Scale, ED = emergency department, RISC = Revised Injury Severity Classification, SMR = standardised mortality rate, m = mean, SD = standard deviation, PRBC = packed red blood cells, CI = confidence interval
Gunshot n = 1123 | Stab n = 4333 | Others n = 4119 | |||||
|---|---|---|---|---|---|---|---|
Prehospital data | |||||||
Prehospital GCS score (m +/-) | 9.7 | SD 5.4 | 13.4 | SD 3.3 | 12.6 | SD 4 | |
Prehospital shock (n) | 177 | 20.7 % | 863 | 24.3 % | 572 | 16.7 % | |
On-scene time (m +/-)* in minutes | 29.5 | SD 17.7 | 21.3 | SD 13.9 | 28.4 | SD 16.7 | |
Prehospital time (m +/-) in minutes | 67.6 | SD 44.2 | 58 | SD 46.2 | 64.1 | SD 35.6 | |
Air transportation (n) | 203 | 20.6 % | 227 | 5.7 % | 893 | 23.7 % | |
Prehospital management | |||||||
Prehospital fluid administration (n) | 827 | 87.2 % | 3415 | 87.4 % | 3319 | 89.5 % | |
Prehospital fluid administration in mL (m +/-) | 875 | SD 681 | 856 | SD 695 | 919 | SD 729 | |
Prehospital intubation (n) | 521 | 51.9 % | 715 | 17.7 % | 1177 | 30.7 % | |
Prehospital chest drain insertion (n)* | 28 | 5.0 % | 96 | 5.4 % | 53 | 3.0 % | |
Prehospital catecholamine therapy (n)* | 107 | 19.1 % | 159 | 9.0 % | 183 | 10.5 % | |
Resuscitation (n) | 72 | 7.2 % | 181 | 4.5 % | 135 | 3.5 % | |
Prehospital sedation (n)* | 387 | 69.2 % | 876 | 49.4 % | 1235 | 70.6 % | |
Clinical management | |||||||
Shock on arrival at ED (n) | 182 | 17.8 % | 684 | 17.1 % | 493 | 13.4 % | |
Fluid administration at ED in mL (m +/-)* | 1286 | SD 1632 | 1460 | SD 1602 | 1318 | SD 1473 | |
PRBC transfusions (n) | 188 | 17.1 % | 834 | 19.4 % | 664 | 16.3 % | |
Massive transfusions (> 10 PRBC units, n) | 31 | 2.8 % | 139 | 3.2 % | 115 | 2.8 % | |
Emergency operations (since 2015) | 184 | 46 % | 916 | 48 % | 484 | 43 % | |
Emergency laparotomy | 68 | 18 % | 568 | 31 % | 59 | 6 % | |
Emergency thoracotomy | 33 | 9 % | 240 | 13 % | 30 | 3 % | |
Length of hospital stay (in days) | 11.8 | SD 16.3 | 9 | SD 10.7 | 18.5 | SD 22.5 | |
Died within 6 h | 156 | 13.9 % | 158 | 3.6 % | 177 | 4.3 % | |
Died (n) | 429 | 38.2 % | 289 | 6.7 % | 455 | 11.0 % | |
RISC II score (%) | 35.7 % | 8.6 % | 13.2 % | ||||
SMR (with 95 % CI) | 1.07 | 0.99–1.15 | 0.78 | 0.69–0.86 | 0.84 | 0.76–0.91 | |