Objective  To explore the impact of whole-chain integrated treatment system for severe trauma patients on the efficiency and quality of treatment, which is "pre-hospital emergency care and early warning-participation of surgical chief residents in in-hospital emergency resuscitation-specialized damage control surgery-severe trauma management".

Methods  Data of patients who admitted to the Trauma Center of The First Hospital of Laohekou from 2023 to 2024 were retrospectively analyzed, of which patients from January 1 to December 31, 2023 (before the establishment of the integrated treatment system of the Trauma Center) were the control group, and patients from January 1 to December 31, 2024 (after the establishment of the integrated treatment system of the Trauma Center) were the study group. The univariate comparative analysis of emergency transport time, emergency stay time, total hospital stay and mortality rate of the two groups was carried out. Multivariate Logistic regression analysis was performed by using the death of severe trauma patients as the dependent variable, and other single factors such as group were included as independent variables.

Results  Univariate analysis showed that the study group was better than the control group in terms of injury severity score (ISS), emergency transport time, emergency stay time, and mortality rate (P<0.05). Multivariate Logistic regression analysis revealed that group, ISS and hospital stay were independent risk factors affecting the prognosis of patients with severe trauma (P<0.05).

Conclusion  The whole-chain integrated treatment system for severe trauma patients can improve the treatment efficiency and ability of severe trauma patients in primary medical institutions, improve the prognosis of patients, and provide a reference for the construction of trauma centers in primary medical institutions.

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