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. 2021 Aug 28;16:43. doi: 10.1186/s13017-021-00390-z

Table 4.

Summary of series’ comparing hybrid emergency department (ED) versus the conventional trauma workflow without a hybrid ED

Author, Institution, Year Hybrid ED Conventional Baseline features (Hybrid ED versus Conventional) Outcomes (Hybrid ED versus Conventional) Remarks
Wada, OGMC, 2012 21 27 No significant difference

Shorter time to CT initiation and end of CT

Shorter time to start of bleeding control procedures

No significant difference in 28-day mortality

1 patient in the hybrid group and 7 patients in the conventional group were transferred to the OT for emergency surgery
Kinoshita, OGMC, 2019 336 360

Difference in mechanism of injury (fewer motor vehicle accidents)

Higher prothrombin time international normalized ratio

Shorter time to CT initiation

Shorter time to emergency procedure

Decreased 28-day mortality

Reduced number of deaths from exsanguination

Outcomes confirmed with propensity score analyses
Ito, TUSM, 2020 24 72

Younger age

Greater proportion of patients with traumatic brain injuries, Glasgow Coma scale of < / = 8 and intubated on admission

Lower Revised Trauma Score

More frequent REBOA insertion and simultaneous or subsequent laparotomy/thoracotomy

More frequent massive transfusion protocol activation

No difference in time from arrival to CT scan

Shorter time from arrival to angioembolization

No differences in rates of angioembolization complications, infectious complications and in-hospital mortality

Evaluated all patients who underwent angioembolization for pelvic fracture

OGMC Osaka General Medical Center, Japan; TUSM Teikyo University School of Medicine, Japan