创伤分类与重创伤患者的长期结果的关联
Joonas Kuorikoski1,2, Mikko Heinänen3,4, Tuomas Brinck5
1Department of Orthopaedics and Traumatology, Tampere University Hospital, Tampere, Finland. joonas.kuorikoski@fimnet.fi.
概括
严重创伤的结果因分类而异. 多创伤患者面临更高的早期死亡率,而非多创伤患者,特别是创伤性脑损伤 (TBI) 患者,长期死亡率增加.
科学领域:
- 创伤外科 手术 创伤外科
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
背景情况:
- 严重的创伤会产生重大的长期后果.
- 柏林多创伤标准确定了严重受伤的患者.
- 对多创伤患者的长期结局数据有限.
研究的目的:
- 评估创伤分类与重创伤患者的长期结果之间的关联.
- 分析基于多创伤定义的死亡率差异.
主要方法:
- 使用了I级创伤中心注册 (2006-2015年).
- 将患者分为:所有严重受伤者,多创伤者 (柏林和柏林+) 和非多创伤者.
- 使用Kaplan-Meier生存分析来比较死亡率.
主要成果:
- 分析了3359名患者,70.9%的患者没有多创伤.
- 柏林+多创伤患者的短期死亡率最高.
- 非多创伤患者,特别是创伤性脑损伤 (TBI) 患者,10年来累计死亡率最高.
结论:
- 多创伤患者的过度死亡率 (柏林定义) 集中在早期阶段 (30天死亡率).
- 在多创伤患者中,晚期死亡并不常见.
- 创伤性脑损伤显着导致早期和长期死亡率的增加.
更多相关视频
相关概念视频
Traumatic Memory
83
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...
83
Post-traumatic Stress Disorder
30
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,...
30
Flail Chest-II
160
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
160
Classification of Illness
7.4K
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
7.4K


