评估医院前创伤队激活标准的影响
Kevin Durr1, Michael Ho2, Mathieu Lebreton3
1Department of Emergency Medicine, University of Ottawa, The Ottawa Hospital, Civic Campus, Ottawa, ON, Canada. kedurr@toh.ca.
CJEM
|November 8, 2023
概括
医院前创伤组的激活没有影响24小时的存活率,但显著减少了创伤患者的手术,CT扫描,输血和ED停留时间的时间.
科学领域:
- 紧急医疗 紧急医疗
- 创伤外科 手术 创伤外科
- 医院前护理 医院前护理
背景情况:
- 有限的研究存在于医院前创伤小组激活的好处.
- 这项研究调查了医院前创伤小组激活对患者结果的影响.
研究的目的:
- 评估医院前创伤小组激活对24小时生存时间的影响.
- 评估对紧急程序,CT扫描,输血和ED停留时间的时间影响.
主要方法:
- 在一级创伤中心对创伤小组激活的40个月后期回顾.
- 使用回归模型比较医院前和医院内激活之间的结果.
- 对损伤严重程度,年龄,血压和抗凝剂使用进行控制.
主要成果:
- 医院前创伤小组的激活没有显著影响24小时死亡率.
- 在紧急程序 (18.0比27.0分钟),CT扫描 (37.0比42.0分钟) 和输血 (14.0比28.0分钟) 的时间内观察到显著的减少.
- 住院时间也显著减少 (101.0分 vs 171.0分).
结论:
- 医院前创伤小组的激活并没有显著影响24小时死亡率.
- 医院前激活加速了关键干预和患者处置.
- 这一策略提高了创伤护理提供效率.
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