5/26/2023 0 Comments Types of retrospective studiesThis could lead to more accurate identification of patients who have suffered major trauma and ensure they are transported to an appropriate specialist centre. Conclusion: This study provides the first full evaluation of this tool in clinical practice and makes some recommendations to improve performance. The tool could be improved by altering thresholds for vital signs (blood pressure and Glasgow Coma Scale) and by providing clarity around the injury findings. Results: The sensitivity of the Wessex TUB is 51.3% and the specificity is 71.3% which makes the tool a poor predictor of major trauma. Further analysis was undertaken to make recommendations for alterations to the tool. Statistical analysis was performed to evaluate the accuracy of the tool in identifying major trauma, defined as an Injury Severity Score (ISS) greater than 15. Data were sourced from the Trauma Audit and Research Network (TARN) and ED records and case reviews were performed to extract the required information. Methods: This study used data from a period of 12-months (1065 cases) to evaluate the performance of a TUB tool used in an English ambulance service. This study aims to evaluate a tool in current operational use and suggest amendments which may improve its performance in clinical practice. This process is known as ‘Trauma Unit Bypass’ (TUB) and decision support tools are provided for use by ambulance service providers. The most severely injured patients are then transported directly to an MTC, even if there is a closer Emergency Department (ED). P class="MsoNormal">Introduction: In order to direct patients to specialist Major Trauma Centres (MTCs), triage is performed at the scene of an incident to evaluate the extent of a patient’s injuries. Comprehensive ECC prevention measures actively involving parents are needed to overcome the caries burden. Fluoride varnish applications could not reduce the caries increment compared to CG in the short-term but slightly decreased the long-term caries experience. After >550 days, IG with low SES exhibited a high caries experience. After 300–550 days, no significant differences were found between both groups regarding mean caries increment and experience (p > 0.05). Overall, 135 children (Ø 3.7 years) attended IG, and 132 children (Ø 3.6 years) attended CG. The data were split by observation period (300–550 and >550 days). Caries was scored according to the WHO criteria (dmf–t). For the caries increment, dental records of 2019 were screened for the availability of a minimum of two dental examinations at least 8 months apart. The long-term caries experience (2009–2019) of these 3–5-year-old kindergarten children was evaluated. As preventive strategies are desirable, this retrospective cohort study aimed to assess the caries experience and increment in children attending kindergartens with an early childhood caries (ECC) preventive program (intervention group, IG) compared to basic prophylaxis measures (control group, CG) located in areas of different socioeconomic status (SES) within Marburg (Germany). Dental caries constitutes a public health challenge.
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