创伤患者的偶然发现:挑战有多大?
Georgia Syrnioti1, Pranav Hinduja1, Aparna Radhakrishna1
1Trauma Surgery Department, One Brooklyn Health-Brookdale University Hospital and Medical Center, Brooklyn, New York.
The Journal of surgical research
|December 4, 2023
概括
在创伤患者中,偶然发现 (IF) 是常见的. 虽然管理了大量的IF,但大多数不那么紧迫的发现缺乏适当的文件和后续行动,这给创伤护理带来了挑战.
科学领域:
- 医疗成像医学成像
- 创伤外科 手术 创伤外科
- 患者安全 患者安全
背景情况:
- 偶然发现 (IF) 在创伤患者工作期间很常见.
- 有效的IF文档和沟通对于患者的治疗结果至关重要.
研究的目的:
- 为了确定创伤患者中IFs的患病率.
- 评估国际投资基金的文档和沟通效率.
主要方法:
- 2018年接受CT扫描的创伤患者 (≥15岁) 的回顾性分析.
- 对IF电子医疗记录的审查,按重要性分类 (1, 2, 3).
主要成果:
- 在836名患者中,582名患者患有FI;2.4%为第一类,23.7%为第二类,97.8%为第三类.
- 所有1类IF被记录在案;只有13%的2类IF被记录在案.
- 患有IF的患者住院时间较长,出院回家率较低;只有12.5%的患者接受了门诊随访.
结论:
- 创伤患者的1类IF得到了适当的管理.
- 87%的2类IF没有足够的文档和门诊随访.
- 在创伤患者中,对IF的门诊随访是具有挑战性的,因为出院处置.
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