定义儿科创伤中心资源利用:来自儿科创伤学会的多学科基于共识的标准
Christopher W Snyder1, Karl O Kristiansen, Aaron R Jensen
1From the Division of Pediatric Surgery (C.W.S.), Johns Hopkins All Children's Hospital, St. Petersburg, Florida; Department of Anesthesia (K.O.K., M.E.C.), Dartmouth-Hitchcock Medical Center, Geisel School of Medicine, Lebanon, New Hampshire; Division of Pediatric Surgery (A.R.J.), Benioff Children's Hospital, University of California-San Francisco, San Francisco, California; Department of Pediatric Neurosurgery (E.A.S.), Nationwide Children's Hospital, Columbus, Ohio; Division of Pediatric Emergency Medicine (J.F.A.), Johns Hopkins University School of Medicine, Baltimore, Maryland; Department of Pediatric Anesthesiology (C.X.C.), Seattle Children's Hospital, Seattle, Washington; and Department of Emergency Medicine (E.B.L.), University at Buffalo, Buffalo, New York.
这项研究建立了儿童创伤中心 (PTC) 资源利用的共识标准. 这些标准旨在通过更好地预测需要专门的PTC服务来改善儿科创伤分拣.
科学领域:
- 儿科创伤护理 儿童创伤护理
- 医学共识发展 医学共识发展
- 医疗保健系统研究 医疗保健系统研究
背景情况:
- 儿科创伤分拣决策需要评估需要儿科创伤中心 (PTC) 资源的可能性.
- 资源利用是儿童损伤严重程度的潜在更有效的指标,而不是死亡风险.
- 目前还没有对PTC资源利用的标准化定义.
研究的目的:
- 为定义儿科创伤中心 (PTC) 资源利用制定基于多学科共识的标准.
- 建立一个基于资源的儿科伤害严重程度指标的基础.
- 通过识别可能需要PTC服务的儿童来加强系统级的儿科创伤分拣.
主要方法:
- 采用了经过修改的Delphi方法,涉及来自不同儿科的18名专家小组.
- 标准是从文献综述中起草的,并通过三轮投票改进,需要75%的共识.
- 从参加儿科创伤学会 (PTS) 年会的与会者那里收集了反.
主要成果:
- 从最初的20个标准草案中,为PTC资源利用制定了14个共识标准.
- 这些标准涵盖了广泛的护理,包括呼吸道管理,复苏,手术干预,重症监护和康复.
- 最终的标准得到了PTS指南委员会的认可.
结论:
- 对儿科创伤中心 (PTC) 资源利用的多学科共识标准已被定义.
- 这些标准代表了向标准化,基于资源的儿科伤害严重程度指标的重大进展.
- 这些标准有助于通过更好地预测PTC资源需求来优化儿科创伤分类.
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