在一级创伤中心发生多起伤亡事件:15年分析
Cynthia J Susai1, Nathan J Alcasid1, Kian C Banks1
1Department of Surgery, University of California, San Francisco-East Bay, Oakland, California.
The Journal of surgical research
|December 10, 2023
概括
多重伤亡事件中的患者最初的结果更差,包括受伤严重程度和死亡率更高. 然而,在控制关键因素后,多重伤亡参与并没有独立预测死亡率或ICU入院.
科学领域:
- 创伤外科 手术 创伤外科
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
背景情况:
- 有限的数据存在于多重伤亡事件 (MCIs) 参与的患者的结果.
- 由于患者数量增加,MCI可能会压迫医疗保健资源.
- 形成了一个假设,即MCI患者比标准创伤患者更糟糕的结果.
研究的目的:
- 为了比较多重伤亡患者和标准创伤患者之间的结果.
- 确定影响创伤患者死亡率和重症监护室 (ICU) 入院的因素.
主要方法:
- 从2006年到2021年,对39924名患者进行了回顾性分析.
- 612名MCI患者和标准创伤患者的入院数据和创伤结果的比较.
- 统计分析包括千平方测试,曼-惠特尼U测试和后勤回归.
主要成果:
- 患有MCI的患者更年轻,并且透创伤的发生率更高.
- 患有MCI与较高的损伤严重程度得分 (ISS),死亡率和ICU入院相关.
- 后勤回归显示年龄,ISS,冲击指数,COVID-19大流行,以及机制预测死亡率,但MCI参与没有.
结论:
- 虽然MCI患者存在增加资源压力的因素,但在控制其他变量时,MCI参与不是死亡率或ICU入院的独立预测因素.
- 对高体积创伤影响的进一步研究可以提高对这一群体的护理.
相关概念视频
Types of Reports II: Incident or Occurrence Report
830
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
830
Comparing the Survival Analysis of Two or More Groups
195
Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and...
195


