在缺失的医院前生命体征中受伤严重程度偏差:患病率和对创伤登记簿的影响
Melissa O'Neill1, Sheldon Cheskes2, Ian Drennan3
1Institute of Medical Science, University of Toronto, Toronto, ON, Canada; Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada.
Injury
|July 25, 2024
概括
在创伤记录中缺少医院前生命体征是常见的,特别是在严重受伤的患者中. 这种数据缺口可能会影响研究结果,强调需要仔细考虑失踪情况.
科学领域:
- 创伤护理研究 创伤护理研究
- 医疗信息学医学信息学
- 公共卫生监督是对公共卫生的监督.
背景情况:
- 生命体征对于评估损伤严重程度和指导创伤复苏至关重要.
- 在创伤登记册中,医院前生理数据往往是不完整的.
- 这种数据缺口可能会影响研究和临床决策的准确性.
研究的目的:
- 为了确定在创伤登记册中缺失的医院前数据的程度.
- 分析缺失的医院前生理数据和受伤严重程度指标之间的关联.
主要方法:
- 在一级创伤中心 (2015-2019) 的成年创伤患者的回顾性评估.
- 对关键生命体征 (心率,缩血压,呼吸率,氧和) 的缺失数据比例的评估.
- 后勤回归分析,以评估数据完整性和受伤严重程度之间的关系.
主要成果:
- 超过25%的患者至少缺少一个医院前生命体征;其中69%的患者缺少所有四个.
- 缺失的数据更常见于严重受伤的患者,死亡率较高的患者和需要立即救命干预的患者.
- 缺少数据的患者更有可能在创伤室死亡或无法存活到出院.
结论:
- 在创伤记录中存在显著的医院前数据缺失,特别是严重受伤的患者.
- 这种缺失表明了与受伤严重程度相关的偏见,可能会影响研究的有效性.
- 解决缺失数据的模式对于准确的创伤研究至关重要.
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