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重度のトラウマ患者の帰国プロセスの評価: アッデンブルック病院,ケンブリッジ大学病院のNHS財団の経験
Ahmad W Mohamed1, Masroor Ahmed1, Mayank Kumar1
1Department of Trauma and Orthopedics, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, GBR.
Cureus
|September 2, 2025
まとめ
重度のトラウマを患った患者を48時間以内に地元の病院に 送還することは困難で,目標を達成したのは14%に過ぎません. 送還の遅延は 患者の回復と病院のリソースに影響します
科学分野:
- トラウマ 手術
- 医療管理
- 患者の帰国
背景:
- 重度のトラウマの患者は,重度のトラウマセンター (MTC) で専門治療を必要とします.
- 地元の国立保健サービス病院への帰還は 回復に不可欠です
- コンサルタントの受け入れから 48時間以内に帰還を義務付けています
研究 の 目的:
- 重度のトラウマを患った患者を48時間以内に 送還する効率と実現可能性を評価する.
- 帰国プロセスにおける障壁や課題を特定する.
主な方法:
- 2022年1月から2024年6月までのトラウマと整形外科に入院した患者の遡及研究.
- 収容基準:帰国が必要な非現地患者
- 病院のITシステムから抽出したデータです.
主要な成果:
- 224人の患者が対象となり,154人が帰国した.
- わずか14% (31人の患者) が48時間以内に帰国した.
- 31% (70人の患者) はベッドが確保される前に退院し,患者一人当たり平均で4日寝ない.
結論:
- 重度のトラウマの患者の回復には不可欠です.
- 現行の帰還プロセスは,患者のケアとリソース利用に影響を及ぼし,大きな遅延に直面しています.
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