Table 2.
Overview of reported mortality and polytrauma proportion in populations selected for TBCT studies
| Author, study year, country | Eligibility criteria besides blunt trauma, adult and direct transfer | Mortality (%) TBCT/control/overall | Polytrauma, ISS ≥16 (%) TBCT/control/overall |
|---|---|---|---|
| Sierink 2014, The Netherlands [14] | ≥1 VP or CSI | 13.0/13.0/13.0 (30d) | 63.2/63.2/63.2 |
| Wada 2013, Japan [21] | Requiring bleeding control | 18.1/80.0/26.3 (28d) | >75/>75/>75 |
| Sierink 2013, The Netherlands [4] | ISS ≥16 and ≥1 VP or CSI | 5.3/4.6/5.0 (30d) | 100 (by protocol) |
| Huber-Wagner 2013, Germany [11] | ISS ≥16 | 17.4/21.4/19.2 (overall) | 100 (by protocol) |
| Sedlic 2013, Canada [13] | TBCT performed, and ISS ≥16, and ≥1 VP, TM or CSI | 14.9/-/- (ND) | 100 (by protocol) |
| Kimura 2013, Japan [22] | GCS 3–12, SBP >75 mmHg | 24/28/27 (ND) | NA |
| Hsiao 2013, Australia [7] | Trauma team activation and initial CT scan required | 3.1/1.2/1.5 (ND) | 51.5/16.5/21.7 |
| Asha 2012, Australia [3] | Trauma team activation | NA | 17.5/18.5/18.0 |
| Babaud 2012, France [6] | ≥1 Vittel criterion | NA | NA |
| Stengel 2012, Germany [23] | ≥ 1 VP, TM or CSI, CJ | 7.1/-/7.1 (ND) | 36.7 |
| Hutter 2011, Germany [24] | Admission to trauma center | 15/8/13 (overall) | 95.1/96.9/95.5 |
| Gupta 2011, USA [17] | Trauma team activation after blunt trauma | NA | –/–/20 |
| Smith 2011, UK [25] | Suspicion on having multiple or serious injuries | 4.7 (ND) | NA |
| Wurmb 2011, Germany [26] | (suspected) Multiple trauma requiring emergency surgery | 5.8/5.5/5.7 (30d) | 87.1/71.6/84.4 |
| Smith 2012, UK [27] | – | – | – |
| Tillou 2009, USA [18] | Trauma team activation after blunt trauma | NA | NA |
| Huber-Wagner 2009, Germany [2] | ISS ≥16 | 21/22/22 (overall) | 100 (by protocol) |
| Wurmb 2009, Germany [28] | ISS ≥18 | NA | 100 (by protocol) |
| Rieger, 2009, Austria [16] | Treatment in resuscitation area by trauma team | NA | 67.0/58.2/62.7 |
| Nguyen 2009, Swiss [29] | TBCT performed, and MVC or fall from >3 m | NA | NA |
| Wurmb 2007, Germany [8] | Sedated and ventilated trauma patients | NA | 69.4/5.7/50.8 |
| Weninger 2007, Austria [15] | ISS ≥17, and AIS ≥4 in ≥1 body region (head, thorax or abdomen), and survival until ICU admission | 17/16/17 | 100 (by protocol) |
| Prokop 2006, Germany [12] | ISS >16 and TBCT performed | 13/-/13 | 100 (by protocol) |
| Salim 2006, USA [19] | No visible evidence of chest or abdominal injury, and hemodynamically stable, and PE of abdomen normal or unevaluable because of depressed level of consciousness, and significant mechanism of injury | NA | NA |
| Sampson 2006, UK [30] | Hemodynamically stable, and AIS ≥2 in ≥1 body region (head/neck, thorax, abdomen/pelvis, spine or extremities) | NA | NA |
| Wurmb 2005, Germany [31] | Treatment in resuscitation area by trauma team | NA | NA |
| Heyer 2005, Germany [32] | Suspected injury of ≥2 body regions of which ≥1 is life-threatening, and ICU admission | NA | NA |
| Albrecht 2004, Germany [33] | Prehospital suspected polytrauma, and TBCT performed | NA | NA |
| Self 2003, USA [20] | Blunt head injury and TBCT performed | NA | NA |
| Leidner 1998, Sweden [34] | Hemodynamically stable, and clinical suspicion of multiple organ injuries or a trauma mechanism capable of producing major injury to multiple organ systems. | NA | NA |
ISS Injury Severity Score, VP vital parameters, TM trauma mechanism, CSI clinical suspicious injury, CJ clinical judgement, ND not defined, NA not available