Clinical trial NCT00772213: The Multifunctional Image Guided Therapy Suite (MIGTS) in Emergency Multiple Trauma Care
Official title: The Impact of a Multifunctional Image Guided Therapy Suite (MIGTS) on Emergency Multiple Trauma Care - a Controlled Clinical Pilot Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Acceleration of Procedure
Reduction of Number of Transports and Transfers
Involved Staff Member's Evaluation
Keywords: multiple trauma
outcome and process assessment
Lead sponsor: University Hospital, Basel, Switzerland
Sponsor class: OTHER
Collaborators: name: Swiss National Science Foundation
name: Scientific Foundation of the Swiss Accident Insurance Fond
name: Voluntary Academic Society, Basel
name: CARCAS Switzerland
First posted: 2008-10-15
Enrollment: 168
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Controlled clinical intervention study comparing the treatment of multiple trauma patients in a newly developed combined diagnostic and operation room, the multifunctional image guided therapy suite (MIGTS) versus controls. The MIGTS proved to significantly accelerate the procedure and led to more satisfied team members.

Detailed description: Objective: Pilot evaluation to which extend the implementation of a newly developed combined diagnostic and operation room, the multifunctional image guided therapy suite (MIGTS) may influence the emergency treatment of multiply injured patients.

Summary Background: Controlled data on the impact of modern technology integration in multiple trauma management and involved care providers are lacking.

Methods: Quasi-randomized clinical intervention study comparing the treatment of multiple trauma patients (injury severity score, ISS \>16) in the MIGTS versus controls.

Eligibility criteria: Inclusion Criteria:

* multiple trauma with
* at least two abbreviated injury scoring (AIS) regions involved and
* injury severity score (ISS)\>16
* primary hospital treatment at University Hospital Basel

Exclusion Criteria:

* monotrauma or
* ISS \< 16 or
* prior treatment in another hospital

Primary outcomes:
measure: Time to first CT scan
timeFrame: first CT scan after arrival of emergency patient
Secondary outcomes:
measure: Staff member evaluation (Likert scale 1-5)
timeFrame: end of emergency treatment (arrival ICU or death)
Other outcomes:
Locations:
city: Basel
country: Switzerland
facility: University Hospital, CARCAS group
Study officials:
affiliation: University of Basel
name: Thomas Gross, Prof. Dr.
role: PRINCIPAL_INVESTIGATOR
References:
citation: Messmer P, Jacob AL, Fries E, Gross T, Suhm N, Steinbrich W, Frede KE, Schneider T, Regazzoni P. [Technology integration and process management. Concept and implementation of a new platform for simultaneous diagnosis and therapy of acutely ill and injured patients and for elective computer assisted surgery (CAS)]. Unfallchirurg. 2001 Oct;104(10):1025-30. doi: 10.1007/s001130170047. German.
citation: Gross T, Amsler F, Ummenhofer W, Zuercher M, Regazzoni P, Jacob AL, Huegli RW, Messmer P. [Interdisciplinary emergency room management of trauma patients from the standpoint of coworkers]. Chirurg. 2005 Oct;76(10):959-66. doi: 10.1007/s00104-005-1068-0. German.
citation: Gross T, Messmer P, Amsler F, Fuglistaler-Montali I, Zurcher M, Hugli RW, Regazzoni P, Jacob AL. Impact of a multifunctional image-guided therapy suite on emergency multiple trauma care. Br J Surg. 2010 Jan;97(1):118-27. doi: 10.1002/bjs.6842.