直至手术室创伤复苏的有效性:一个系统的审查
Dongmin Seo1,2, Inhae Heo1,2, Donghwan Choi1,2
1Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine, 164 Worldcup-Ro, Yeongtong-Gu, Suwon-si, Gyeonggi-do, 16499, Republic of Korea.
World journal of emergency surgery : WJES
|January 18, 2024
概括
直至手术室的复苏 (DOR) 可以通过减少手术干预的时间来改善严重创伤患者的生存率. 这一系统性审查表明,DOR有利于死亡率,并为严重休克患者提供快速护理.
科学领域:
- 创伤外科 手术 创伤外科
- 紧急医疗 紧急医疗
- 关键的护理关键的护理
背景情况:
- 出血控制在创伤护理中至关重要,较短的治疗时间与更好的患者结果有关.
- 直至手术室复苏 (DOR) 协议旨在减少严重创伤患者的治疗时间.
- DOR对创伤护理效率和质量的临床影响尚不清楚.
研究的目的:
- 系统地审查和评估直接到手术室复苏 (DOR) 在严重创伤患者的实用性.
- 巩固已发表的关于DOR对创伤复苏结果影响的研究.
主要方法:
- 对PubMed,EMBASE和Cochrane数据库进行了系统审查.
- 搜索到2023年4月之前发表的英语文章,报告严重创伤的DOR.
- 审查了六项涉及3232名患者的相关研究.
主要成果:
- 六项研究中的四项表明,与预测死亡率相比,生存率有所改善.
- 在一些研究中,子组分析显示,穿透和伤的生存率有所改善.
- 五项研究报告了手术干预的时间在30分钟内,两项研究显示DOR患者的时间更短.
结论:
- 直至手术室的复苏可能有利于重创患者的死亡率.
- DOR有助于对遭受严重休克的患者进行快速干预.
- 需要进行进一步的临床试验,以最终比较DOR的效率.
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