Clinical decision support for severe trauma patients: Machine learning based definition of a bundle of care for hemorrhagic shock and traumatic brain injury.

Journal: The journal of trauma and acute care surgery
PMID:

Abstract

BACKGROUND: Deviation from guidelines is frequent in emergency situations, and this may lead to increased mortality. Probably because of time constraints, 55% is the greatest reported guidelines compliance rate in severe trauma patients. This study aimed to identify among all available recommendations a reasonable bundle of items that should be followed to optimize the outcome of hemorrhagic shocks (HSs) and severe traumatic brain injuries (TBIs).

Authors

  • Elodie Lang
    From the Department of Anesthesia and Critical Care Medicine, APHP Hopital Européen Georges Pompidou (E.L., A.N., G.F., S.H.); Department of Anesthesia and Critical Care Medicine, Hôpital Beaujon (P.S.A.), Clichy; Department of Anesthesia and Critical Care Medicine, Hia Sainte Anne (P.E.); Department of Anesthesia and Critical Care Medicine, Chu De Toulouse (T.G.), Toulouse; Department of Anesthesia and Critical Care Medicine, Chu De Bicêtre (A.H.), Le Kremlin Bicêtre France; Department of Anesthesia and Critical Care Medicine, Chu De Caen (J.-L.H.), Caen; Department of Anesthesia and Critical Care Medicine, Chu Lille (E.K.), Lille; Department of Anesthesia and Critical Care Medicine, Hopital Nord (M.L.), Marseille; Department of Anesthesia and Critical Care Medicine, Chu De Reims (V.L.), Reims; Department of Anesthesia and Critical Care Medicine, Chr Metz Thionville (N.M.), Metz; Department of Anesthesia and Critical Care Medicine, Chu Strasbourg (J.P.), Strasbourg, France; Department of Anesthesia and Critical Care Medicine, Zuckerberg San Francisco General Hospital and Trauma Center (R.P.), San Francisco, California.
  • Arthur Neuschwander
  • Gersende Favé
  • Paer-Selim Abback
  • Pierre Esnault
  • Thomas Geeraerts
  • Anatole Harrois
  • Jean-Luc Hanouz
  • Eric Kipnis
  • Marc Leone
  • Vincent Legros
  • Nouchan Mellati
  • Julien Pottecher
  • Sophie Hamada
  • Romain Pirracchio