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儿童创伤转移是合理的吗? :从转移机构的独特观点
Vinci S Jones, Catherine Wirtenson1, Keri Penta1
1Trauma, Good Samaritan Hospital Medical Center, West Islip, NY.
Pediatric emergency care
|December 4, 2023
概括
对于减少不必要的转移,儿科过分分的定义是不够的. 识别当地的因素,如专家可用性,可以帮助减轻受伤儿童的过量选.
科学领域:
- 儿科创伤护理 儿童创伤护理
- 医疗保健管理的管理
- 转移医学转移医学
背景情况:
- 目前对儿科过量选和不必要转移的定义是中心特定的,并且对转诊机构提供有限的价值.
- 这项研究研究了影响从外围儿科创伤中心转移患者的因素.
研究的目的:
- 分析从2级儿童创伤中心转移到1级儿童创伤中心的原因和特征.
- 在边缘环境中评估现有的过量选定义的有效性.
主要方法:
- 在2级儿科创伤中心对创伤注册的四年回顾性审查.
- 识别和分析转移到1级中心的儿科患者,包括他们的结果.
主要成果:
- 在4年内发生了46次儿科转移 (转移率6.6%).
- 神经外科 (21) 和烧伤 (12) 病例是转移最常见的原因.
- 儿科过量治疗 (LOS <24小时) 为46.7%,通常是由于神经外科咨询和医疗法律问题.
结论:
- 现有的过量选定义对于在参考中心进行干预的实用性有限.
- 提高当地儿科外科专家的可用性可能会减少不必要的转移和过度选.
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