机动车事故的时间延迟到达:对创伤队激活的批判性分析
Zachary Taylor1,2, Andrew McCague3
1Medicine, College of Osteopathic Medicine of the Pacific - Northwest, Western University of Health Sciences, Lebanon, USA.
Cureus
|May 13, 2024
概括
自创伤以来的时间 (TST) 影响创伤团队激活率 (TTA). 即使有较长的TST,患者也显示出更高的入院和手术需求,这表明TTA标准的改进是必要的,以获得最佳的创伤护理.
科学领域:
- 紧急医疗 紧急医疗
- 创伤外科 手术 创伤外科
- 临床研究 临床研究
背景情况:
- 创伤小组激活 (TTA) 标准对于及时有效的创伤护理至关重要.
- 自创伤 (TST) 后的时间在影响TTA决策和患者结果方面的作用需要进一步调查.
研究的目的:
- 在一级创伤中心调查TST和TTA标准之间的关联.
- 为了确定TST是否会影响后应急部门 (ED) 的安排.
- 根据TST提出了改进TTA标准的见解.
主要方法:
- 在2016-2021年期间,对3693名机动车事故患者进行了回顾性分析.
- 基于受伤和ED到达时间计算TST.
- 统计分析 (基平方测试) 来评估TST与TTA和处置的关联.
主要成果:
- 在TST和TTA率之间观察到显著的反向关系 (p = 0.0076).
- 在激活创伤小组中,TST与ED后处置有显著的关联 (p = 0.0007).
- 患有TST≥2小时的患者的入院率,ICU和手术室利用率更高.
结论:
- TST是TTA发生率和患者情绪的一个重要因素.
- 目前的TTA标准可能需要改进,以涵盖具有较长TST的患者.
- 这项研究提供了通过考虑TST来优化创伤护理协议的见解.
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