创伤患者在医院前使用宫项圈的趋势:更接近,但还没有到达那里
Logan Muzyka1, James M Bradford1, Pedro G Teixeira1
1Department of Surgery and Perioperative Care, Dell Medical School at The University of Texas at Austin, Austin, Texas, USA.
概括
从2014年到2021年,椎脊柱固定频率在创伤患者中下降. 然而,不必要的宫项圈 (c-项圈) 的使用仍然存在,一些需要它们的患者没有得到c-项圈.
科学领域:
- 创伤护理 创伤护理
- 紧急医疗 紧急医疗
- 神经外科 神经外科
背景情况:
- 椎 (C-脊柱) 固定是创伤患者的关键干预措施.
- 评估C-脊柱固定化的趋势对于优化患者护理和资源配置至关重要.
研究的目的:
- 评估成年创伤患者的椎脊柱固定频率随时间变化的变化.
- 为了确定不必要的C-脊柱固定率是否下降.
主要方法:
- 从2014年到2021年,对2906名成年创伤患者进行了回顾性图表审查.
- 对宫项圈 (C-项圈) 应用和C-脊柱损伤的医院前文档的分析.
- 单变量和趋势分析以评估固定和受伤频率的变化.
主要成果:
- 12%的患者患有C-脊柱损伤;88%没有.
- 从2014年到2021年,C-collar应用率在凸 (82%至68%) 和穿透创伤 (24%至6%) 方面都下降了.
- 尽管情况有所减少,C-项圈仍然适用于没有C-脊柱损伤的患者,而不是一些可能受益的人.
结论:
- 在2014年至2021年期间,不必要的椎脊柱固定的频率有所下降.
- 持续面临的挑战包括对没有C脊柱损伤的患者继续使用C项圈,并且在某些情况下治疗不足.
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