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探索创伤患者的长期残疾结果:研究协议
Natasha Shaukat1,2, Asma Altaf Hussain Merchant3, Fazila Sahibjan4
1Department of Epidemiology, Robert Stempel College of Public Health, Florida International University, Miami, USA. nshau001@fiu.edu.
这项研究引入了巴基斯坦的数字创伤注册表,以追踪受伤后患者报告的结果 (PROM). 该注册表旨在提高对长期复苏的理解,并指导低收入和中等收入国家的干预措施.
科学领域:
- 创伤护理研究 创伤护理研究
- 公共卫生信息学 公共卫生信息学
- 患者结局研究研究结果.
背景情况:
- 创伤记录对于提高创伤护理质量和效率至关重要.
- 现有的注册表往往缺乏患者报告的长期结果指标 (PROM),阻碍了对患者残疾和康复的理解.
- 低收入和中等收入国家 (LMICs) 关于伤害后结果的数据很少.
研究的目的:
- 在巴基斯坦开发和实施数字创伤登记.
- 为了从前性地捕捉患者报告的结果措施 (PROMs) 在受伤后的1,3,6和12个月.
- 解决关于LMIC中创伤患者的长期结果的知识差距.
主要方法:
- 在巴基斯坦卡拉奇的两家三级医院将建立数字创伤登记.
- 成年创伤患者 (≥18岁) 将被纳入,数据将通过平板电脑以数字方式收集.
- 主要结局包括死亡率,残疾程度,功能状态和生活质量,通过电话采访进行后续调查.
主要成果:
- 描述性统计将总结患者的人口统计和临床特征.
- 将进行生存分析 (Kaplan-Meier,Cox模型).
- 混合效应线性回归将对混因子进行调整,以分析主要结果.
结论:
- 开发的创伤登记册将在LMIC环境中提供关于长期结果的关键数据.
- 调查结果将为未来的战略提供信息,用于捕获放电后数据和设计干预措施.
- 这个倡议旨在增强对创伤恢复的理解,并改善患者的治疗结果.
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