小儿手术创伤转移患者的特征
Su Yeon Lee1, Jordan E Jackson2, Olivia Vukcevich3
1Department of surgery, Montefiore Medical Center, USA; Division of Pediatric General, Thoracic and Fetal Surgery, University of California Davis Medical Center, USA.
American journal of surgery
|November 4, 2023
概括
儿童创伤转移需要手术是常见的. 骨科患者虽然受伤较少,但手术延迟,这表明在儿科创伤护理中优化资源使用的潜力.
科学领域:
- 创伤外科手术是什么
- 儿科外科手术 儿科外科手术
- 医疗保健资源管理 医疗保健资源管理
背景情况:
- 儿科创伤中心改善了结果.
- 对于儿科创伤转移的最佳资源利用需要进行调查.
- 这项研究评估了手术儿科创伤转移患者的资源优化.
研究的目的:
- 为了评估手术儿科创伤转移患者的特征.
- 确定优化儿科创伤护理资源利用的机会.
主要方法:
- 转移到一级儿科创伤中心的儿科创伤患者的回顾性评估 (2009-2019).
- 根据最初的手术子专业分类的患者.
- 对操作干预率和时间进行分析.
主要成果:
- 在4164名转移患者中,33.9%需要手术.
- 65%的手术是对骨科患者进行的,这些患者的伤害严重程度明显较低.
- 与骨科患者 (OR 2.0) 相比,一般手术患者在转移当天进行手术的可能性更高.
结论:
- 三分之一的儿童创伤转移需要手术干预.
- 整形外科患者,尽管伤害严重程度较低,但经历了延迟的外科干预.
- 需要对这种患者队伍进行批判性评估,以开发不那么资源密集的转移流程.
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