创伤患者医院前管理的时间变化:2014-2021年
James M Bradford1, Pedro G Teixeira1, Joseph DuBose1
1Department of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, United States.
American journal of surgery
|August 11, 2023
概括
在创伤护理中,医院前干预 (PHI) 发生了显著的变化,有些增加,有些减少. 然而,这些干预措施与急诊室死亡率的变化无关.
科学领域:
- 紧急医疗 紧急医疗
- 创伤护理 创伤护理
- 在医院前的护理.
背景情况:
- 在创伤护理中,积极的医院前干预 (PHI) 可能无法改善结果.
- 优先考虑快速运输是一种替代方法.
- 这项研究旨在分析PHI频率的时间趋势.
研究的目的:
- 量化紧急医疗服务 (EMS) 执行的医院前干预 (PHI) 频率的时间变化.
- 评估PHI与急诊室 (ED) 死亡率之间的关联.
主要方法:
- 从2014年至2021年,对成年创伤患者的回顾性图表审查.
- 分析PHI频率的年度趋势.
- 多变量回归以评估与ED死亡率的关联.
主要成果:
- 胸腔切除,TXA和全血的频率增加.
- 晚期呼吸道手术的频率降低和IV液体的管理.
- 总体而言,ED死亡率下降,但没有PHI与死亡结果独立相关.
结论:
- 在2014年至2021年期间,PHI实践发生了显著的时间转变.
- 没有发现任何特定的医院前干预措施与ED死亡率的变化独立相关.
- 可能需要进一步的研究来优化医院前创伤护理策略.
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