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在老年创伤患者的医院间转移
Malte Andreas Groth-Rasmussen Koch1, Tobias Arleth2, Oscar Rosenkrantz3
1Department of Anesthesia, Center of Head, Orthopedics and Trauma Center, Rigshospitalet, University of Copenhagen, Inge Lehmanns Vej 6, 2100 Copenhagen, Denmark; Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark. Blegdamsvej 3B, 2200 København N, Denmark.
Injury
|November 16, 2024
概括
老年创伤患者面临更长的转移时间到创伤中心,影响护理质量. 这项研究强调了老年人的延迟和较低的遵守转移时间标准.
科学领域:
- 创伤护理研究 创伤护理研究
- 老年急诊医学的紧急医疗.
- 患者转移协议 患者转移协议
背景情况:
- 全球老年人口的增长.
- 年长的成年人因受伤的死亡率更高.
- 老年创伤患者可能会经历低于最佳的分拣,需要医院间转移.
研究的目的:
- 为了比较老年人 (≥65岁) 与年轻 (18-64岁) 成人创伤患者的医院间转移时间.
- 为了评估对传输时间 (<240分钟) 的质量标准的遵守.
主要方法:
- 使用创伤登记数据 (2018-2023) 的回顾性质量保证研究.
- 包括在医院之间转移的成年创伤患者 (≥18岁).
- 主要结果:从初级医院到达到创伤中心到达的时间.
主要成果:
- 老年队列 (n=184) 经历了显著更长的传输中位延迟 (247分钟) 与年轻队列 (n=381,197分钟) 相比.
- 老年患者较少满足240分钟以下的传输时间标准 (49%对68%).
- 老年人队伍的伤害严重程度更高,30天死亡风险增加了6.35倍.
结论:
- 老年创伤患者面临更长的医院间转移延迟.
- 在老年人群中观察到较低的交换时间质量标准的满足率.
- 这些发现强调了对老年患者优化创伤护理途径的需要.
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