调查创伤患者不必要使用宫项圈的发生率和影响因素
Mohamad Hoseini Kasnavieh1, Keihan Kookli2, Mohamad Veisi3
1Trauma and Injury Research Center, Iran University of Medical Sciences, Tehran, Iran.
许多创伤患者不必要地戴上宫项圈,增加医疗费用和潜在的伤害. 更新紧急医疗服务 (EMS) 关于使用宫项圈的指导方针对于更好的患者结果至关重要.
科学领域:
- 紧急医疗 紧急医疗
- 创伤护理 创伤护理
- 临床指南 临床指南
背景情况:
- 宫项圈经常用于创伤患者,以预防脊髓损伤.
- 在所有创伤患者中常规使用宫项圈的必要性是有争议的.
- 遵守像Nexus协议这样的既定协议对于适当的患者选择至关重要.
研究的目的:
- 评估创伤患者的宫项圈应用的必要性.
- 为了确定与不必要的宫项圈使用相关的因素.
- 为紧急医疗服务 (EMS) 准则关于宫项圈协议的更新提供信息.
主要方法:
- 一项涉及114名创伤患者的横截面研究,这些患者被送往伊朗德黑兰的医院.
- 应用Nexus协议以根据特定症状确定需要使用宫项圈.
- 使用奇平方和费舍尔精确测试进行统计分析来比较组.
主要成果:
- 在43%的创伤患者中,宫项圈被不必要使用.
- 在没有多重创伤的患者 (80%) 和有病史的患者 (47.96%) 中,不必要的使用显着更高.
- 疼痛是最常见的并发症 (54.4%),在不必要的项圈使用中没有显著的基于性别的差异.
结论:
- 目前关于EMS使用宫项圈的指导方针需要修订.
- 减少不必要的宫项圈使用可以降低医疗保健费用和伊朗高体积创伤人口中的阳性损伤.
- 实施基于证据的协议可确保适当使用宫项圈,优化患者护理.
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