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Controlled Cortical Impact Model for Traumatic Brain Injury
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病院のトラウマセンターの全国の在庫
Ellen J MacKenzie1, David B Hoyt, John C Sacra
1Johns Hopkins Bloomberg School of Public Health, Center for Injury Research and Policy, Baltimore, Md 21205, USA. emackenz@jhsph.edu
JAMA
|April 4, 2003
まとめ
アメリカにおけるトラウマセンターの数は,2002年までに1154に倍以上に増加したが,医療提供と配給の大きなギャップが依然として残っている. トラウマセンターの可用性を最適化するために,特に国土安全保障のために,さらなる努力が必要である.
科学分野:
- 緊急医療 緊急医療
- トラウマ・外科・外科
- 医療サービス 研究 医療サービス
背景:
- トラウマセンターは,負傷した患者を治療し,大量死傷事件に対応するために不可欠です.
- 米国におけるトラウマセンターに関する最新の包括的なデータは1991年のもので,471のセンターを特定した.
研究 の 目的:
- 米国全土のトラウマセンターの現在の数と分布を決定する.
- トラウマケアにおける既存のギャップを特定する.
主な方法:
- トラウマセンターのディレクター (2001年-2002年) と全国データベース (アメリカ病院協会,保健資源およびサービス管理局) のインタビューを通じて収集されたデータです.
- トラウマセンターの特徴は,ケアレベルによって分析され,非トラウマセンターと比較されました.
- 小児専用のトラウマセンターを除外 (n=31).
主要な成果:
- 2002年,米国には1154のトラウマセンターがあり,1991年から大幅に増加しました.
- トラウマセンターの分布は州によって大きく異なっており,一部の州は広く指定され,他の州はレベルIとレベルIIのセンターに限定されています.
- トラウマセンターは,一般に規模が大きく,教科病院である可能性が高く,非トラウマセンターよりも専門的なサービスを提供していました.
結論:
- トラウマセンターの数は増加しているが,最適な配分と配置を確保するという課題は依然として残っている.
- これらの課題に取り組むことは,特に病院の準備と国家安全保障に重点を置くことで,極めて重要です.
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