相关实验视频
Updated: Jun 28, 2025
10:08
Pseudofracture: An Acute Peripheral Tissue Trauma Model
Published on: April 18, 2011
14.7K
抵达时间对创伤患者结果的影响
Samantha K LaRosa1, Xander A Stone1, Ashley A Fenninger1
1Department of Surgery, Division of Trauma and Acute Care Surgery, Penn Medicine Lancaster General Health, Lancaster, PA, USA.
The American surgeon
|April 22, 2024
概括
在工作时间外到达的创伤患者没有经历更糟糕的结果. 这项研究发现,周末或夜间创伤入院的死亡率或入院时间没有显著差异.
科学领域:
- 创伤外科 手术 创伤外科
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
背景情况:
- 在"休息时间"期间,医院人员数量可能会减少,这可能会增加患者的风险.
- 到达时间对严重受伤的创伤患者的结果的影响需要调查.
- 假设:深夜/周末创伤入院与更糟糕的结果,延迟的护理和更长的住院时间有关.
研究的目的:
- 为了确定在休息时间 (晚上/周末) 住院的创伤患者是否有较差的结果.
- 根据到达时间,比较结果,手术室 (OR) 延误和停留时间 (LOS).
- 评估到达时间对严重创伤病例的死亡率的影响 (伤害严重性得分>15).
主要方法:
- 创伤患者的回顾性研究ISS>15从8/1/2019到8/1/2022.
- 排除标准:未满18岁的患者,到达时死亡或转移.
- 分析对比了工作日与周末和白天与夜晚的抵达,包括组合组;主要结局是死亡率.
主要成果:
- 953名患者符合纳入标准;周末/夜间抵达者平均年龄较小.
- 黑人患者的比例更高,在夜班期间到达.
- 根据到达时间,没有观察到死亡率,医院LOS或ICU LOS的显著差异.
结论:
- 与假设相反,到达时间并没有显著影响患者的结果.
- 调查结果表明,创伤中心无论入院时间如何,都保持着一致的护理质量.
- 这项研究提供了24/7创伤中心运营的弹性和有效性的证据.
相关概念视频
01:20Traumatic Memory
89
Emotionally traumatic events often lead to memories that are exceptionally vivid and enduring, sometimes persisting with remarkable clarity throughout an individual's life. A classic example of this phenomenon is a person who survives a car accident. Even years later, they may recall every detail of the event with startling accuracy — the screeching of the tires, the jarring impact, and the acrid smell of burning rubber. Such vividness contrasts sharply with how an individual...
89
01:27Post-traumatic Stress Disorder
33
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
33