{"id":8146,"date":"2019-04-26T14:55:24","date_gmt":"2019-04-26T14:55:24","guid":{"rendered":"https:\/\/www.trema-europe.de\/?p=8146"},"modified":"2019-04-26T14:55:24","modified_gmt":"2019-04-26T14:55:24","slug":"die-anwendung-von-tourniquets-bluttransfusionen-und-der-schnelle-transport-fuehrten-zu-einer-reduktion-der-mortalitaet-um-442-in-afgh-und-irak","status":"publish","type":"post","link":"https:\/\/trema-europe.de\/index.php\/2019\/04\/26\/die-anwendung-von-tourniquets-bluttransfusionen-und-der-schnelle-transport-fuehrten-zu-einer-reduktion-der-mortalitaet-um-442-in-afgh-und-irak\/","title":{"rendered":"Die Anwendung von Tourniquets, Bluttransfusionen und der schnelle Transport f\u00fchrten zu einer Reduktion der Mortalit\u00e4t um 44,2% in Afgh und Irak"},"content":{"rendered":"\n

Use of Combat Casualty Care Data to Assess the US Military Trauma System During the Afghanistan and Iraq Conflicts, 2001-2017<\/p><\/blockquote>\n\n\n\n

analysis suggests that increased use of tourniquets<\/strong>, blood transfusions<\/strong>, and more rapid prehospital transport<\/strong> were associated with 44.2% of total mortality reduction<\/strong>. More critically injured casualties reached surgical care, with increased survival, implying improvements in prehospital and hospital care<\/p>\n\n\n\n

Ergebnisse: Zusammengefasst f\u00fcr 56763 Verwundete sank die Sterberate \u201eCFR\u201c in Afghanistan (von 20,0% auf 8,6%) und im Irak (von 20,4% auf 10,1%) vom Anfang bis zum sp\u00e4teren Stadium der Konflikte. Das \u00dcberleben kritisch verletzter Opfer (ISS Injury Severity Score, 25-75 [kritisch]) stieg in Afghanistan von 2,2% auf 39,9% und im Irak von 8,9% auf 32,9%. Simulationen mit Daten von 23699 einzelnen Opfern zeigten, dass die Sterberate ohne die durchgef\u00fchrten Ma\u00dfnahmen in Afghanistan (15,6% gegen\u00fcber 8,6%) und im Irak (16,3% gegen\u00fcber 10,1%) h\u00f6her gewesen w\u00e4re, was 3672 zus\u00e4tzlichen Todesf\u00e4llen entspricht (95 % KI, 3209-4244 Todesf\u00e4lle), davon waren 1623 (44,2%) mit den untersuchten Ma\u00dfnahmen verbunden: 474 Todesf\u00e4lle (12,9%) (95% CI, 439-510) im Zusammenhang mit der Verwendung von Tourniquets, 873 (23,8%) (95% CI, 840-910) mit Bluttransfusion und 275 (7,5%) (95% CI, 259-292) mit pr\u00e4klinischen Transportzeiten unter 60 Minuten.<\/p>\n\n\n\n

https:\/\/jamanetwork.com\/journals\/jamasurgery\/article-abstract\/2729451?fbclid=IwAR2Y6zBsc2Aj0WcSG-kPN6hXk8E_we71RTcqJgoB-YswDQ_hxfTCHpiD3Cg<\/a><\/p>\n\n\n\n


Jeffrey T. Howard, PhD1,2<\/sup><\/a>; Russ S. Kotwal, MD, MPH2,3,4<\/sup><\/a>; Caryn A. Turner, DrPH2<\/sup><\/a>; et al<\/a>Jud C. Janak, PhD2<\/sup><\/a>; Edward L. Mazuchowski, MD, PhD2,5<\/sup><\/a>; Frank K. Butler, MD2<\/sup><\/a>; Zsolt T. Stockinger, MD2,6<\/sup><\/a>; Barbara R. Holcomb, MSN7<\/sup><\/a>; Raquel C. Bono, MD8<\/sup><\/a>; David J. Smith, MD8<\/sup><\/a>JAMA Surg. <\/em>Published online March 27, 2019. doi:10.1001\/jamasurg.2019.0151JAMA Surg. <\/em>Published online March 27, 2019. doi:10.1001\/jamasurg.2019.0151<\/p>\n","protected":false},"excerpt":{"rendered":"

Use of Combat Casualty Care Data to Assess the US Military Trauma System During the Afghanistan and Iraq Conflicts, 2001-2017 analysis suggests … <\/p>\n

Weiterlesen…Die Anwendung von Tourniquets, Bluttransfusionen und der schnelle Transport f\u00fchrten zu einer Reduktion der Mortalit\u00e4t um 44,2% in Afgh und Irak<\/span><\/a><\/p>\n","protected":false},"author":3,"featured_media":8147,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[32,28,35],"tags":[56],"class_list":["post-8146","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-allgemein","category-news","category-trema-news","tag-isaf"],"acf":[],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/trema-europe.de\/index.php\/wp-json\/wp\/v2\/posts\/8146","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/trema-europe.de\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/trema-europe.de\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/trema-europe.de\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/trema-europe.de\/index.php\/wp-json\/wp\/v2\/comments?post=8146"}],"version-history":[{"count":0,"href":"https:\/\/trema-europe.de\/index.php\/wp-json\/wp\/v2\/posts\/8146\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/trema-europe.de\/index.php\/wp-json\/"}],"wp:attachment":[{"href":"https:\/\/trema-europe.de\/index.php\/wp-json\/wp\/v2\/media?parent=8146"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/trema-europe.de\/index.php\/wp-json\/wp\/v2\/categories?post=8146"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/trema-europe.de\/index.php\/wp-json\/wp\/v2\/tags?post=8146"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}