创伤登记:对住院患者的创伤质量指标分析
Luca Giovanni Antonio Pivetta1, Pedro DE Souza Lucarelli Antunes1, Giovanna Mennitti Shimoda2
1Irmandade da Santa Casa de Misericórdia de São Paulo, Departamento de Cirurgia - São Paulo - SP - Brasil.
Revista do Colegio Brasileiro de Cirurgioes
|April 10, 2024
概括
通过使用REDCap实施创伤登记,确定了质量指标,突出了改善创伤患者护理和减少并发症的机会,特别是在开放骨折管理方面.
科学领域:
- 创伤外科 手术 创伤外科
- 医疗信息学 医疗信息学
- 提高质量 提高质量
背景情况:
- 创伤管理需要强大的数据收集以进行质量评估.
- 建立一个全面的创伤登记册对于识别护理缺口至关重要.
- REDCap提供了一个有效和道德的数据采集平台.
研究的目的:
- 使用REDCap平台整合创伤登记册 (TR).
- 验证当地质量指标 (QI) 作为改善创伤护理的措施.
- 评估QI失败对患者结果的影响.
主要方法:
- 通过REDCap.Cap通过创伤患者的持续数据采集.
- QI对住院,并发症和死亡率的影响的回顾性队列分析.
- 统计分析 (费舍尔,奇平方,威尔科克森,克鲁斯卡尔-瓦利斯) 以将QI失败与结果相关联.
主要成果:
- 在465名入院患者中,有137人被住院治疗.
- 受损的QI与增加的并发症和停留时间相关.
- 延迟开放骨折的手术治疗显著增加了严重的并发症.
结论:
- REDCap是多中心创伤注册表实施的一个有价值的工具.
- 经过验证的QI作为关键关注点,可以提高创伤患者的治疗效果.
- 通过集中QI监测,可以改善创伤管理.
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