Trends in pre-hospital volume resuscitation of blunt trauma patients: a 15-year analysis of the British (Trauma Audit and Research Network (TARN)) and German (TraumaRegister DGU®) National Registries
Authors' conclusion
Considerable variability exists in pre-hospital fluid resuscitation strategies for blunt trauma patients. Our data suggest a trend towards reduced pre-hospital fluid administration over time. This trend appears to be associated with improved coagulation function and decreased mortality rates.
Study context
- Population
- Adult blunt trauma patients with Injury Severity Score > 15, 2004–2018
- Participants
- 68,510 vs 82,551
- Exposure
- Pre-hospital fluid resuscitation, TARN vs TraumaRegister DGU (TR-DGU)
- TARNn = 68,510
- TR-DGUn = 82,551
- Outcome
- Annual trends in pre-hospital fluid resuscitation, admission coagulation function and mortality
Methodological detailsmulticentre registry, two national registries, 15-year trend analysis
- Multicentre registry
- Two national registries
- 15-year trend analysis
Main finding
As reported in the abstract
Pre-hospital crystalloid fluids
Pre-hospital crystalloid fluids
Received pre-hospital crystalloid TARN 3.4% · TR-DGU 91.1%
Observational data: associations, not effects.
Original publication
Trends in pre-hospital volume resuscitation of blunt trauma patients: a 15-year analysis of the British (TARN) and German (TraumaRegister DGU®) National Registries. Crit Care. Published 15 March 2024. doi:10.
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