调查创伤伤害负担和在里雅得农村地区进入创伤中心的机会
Lubna Khan1, Fayez Aldarsouni2, Jalal Alowaisi3
1Center for Global Surgery, Baylor College of Medicine, Houston, Texas.
The Journal of surgical research
|November 21, 2024
概括
利雅得农村面临着严重的创伤护理缺口,没有1级创伤中心,严重受伤者获得护理的延误很大. 阿尔哈吉是需要紧急关注的创伤病例的主要热点.
科学领域:
- 公共卫生 公共卫生
- 创伤外科 手术 创伤外科
- 紧急医疗 紧急医疗
- 地理空间分析的研究.
背景情况:
- 创伤严重影响沙特阿拉伯的年轻人,道路交通死亡率高.
- 广的利雅得农村地区在及时获得创伤护理方面面临着挑战.
- 之前的研究没有确定该地区延迟创伤护理的高风险区域.
研究的目的:
- 为了确定里雅得农村的创伤中心分布.
- 评估农村省份的创伤负担.
- 精确地确定经历延迟获得创伤护理的地区.
主要方法:
- 追溯审查来自17个农村利雅得省的24,268份创伤报告 (2021年1月至2023年3月).
- 创伤严重程度的分类使用基于生命体征的既定"红色标准".
- 使用GIS和R统计数据对创伤中心,创伤负担和延迟访问病例进行地理空间映射.
主要成果:
- 利雅得农村地区缺乏一级创伤中心;三级设施是初级保健提供者.
- 阿尔哈尔吉,阿尔库瓦伊亚和阿尔马吉马报告了最高的创伤和"红色标准"病例数.
- 38.2%的"红色标准"创伤病例经历了延迟,特别是在Al-Kharj.
结论:
- 在里雅得省的农村地区,创伤护理的接入和负担存在显著的差异.
- 由于没有1级中心,严重病例的治疗时间延迟,因此需要有针对性的干预措施.
- 标准化创伤系统,改进的转移协议和国家注册表对于优化护理至关重要.
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