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"一个主题的无尽变化":对国际和英国主要创伤分拣工具的文档分析
Gordon Fuller1, Chris Holt2, Samuel Keating2
1University of Sheffield ORCID iD: https://orcid.org/0000-0001-8532-3500.
British paramedic journal
|December 4, 2024
概括
主要的创伤分类工具在结构和内容上缺乏共识. 这次审查确定了53种工具,揭示了四种不同的模式,可以为未来的创伤分拣工具开发提供信息,以更好地照顾患者.
科学领域:
- 紧急医疗 紧急医疗
- 创伤外科 手术 创伤外科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 主要创伤分类工具对于将受伤患者引导到适当的创伤中心至关重要.
- 目前的创伤分类工具缺乏标准化的结构和内容,阻碍了一致的应用.
- 确保"正确的患者在正确的时间在正确的地点得到正确的护理"仍然是一个挑战.
研究的目的:
- 识别,整理和审查现有的主要创伤分类工具.
- 总结和识别已建立的创伤分类工具中的模式.
- 为未来的发展提供信息,更有效的创伤分拣策略.
主要方法:
- 文献审查和与创伤网络的通信确定了英国和国际分拣工具 (2012-2021).
- 概念内容分析使用诱导代码书来检查工具结构,人口,标准,变量和值.
- 主题分析确定了更高层次的模式,随后进行了叙事综合.
主要成果:
- 确定了53种主要的创伤分类工具 (19英国,35国际).
- 大多数工具 (80%) 是基于专家意见,基于纸质,并同时评估预测因素.
- 出现了四种不同的分类工具模式,其格式,变量,值和临床判断范围各不相同.
结论:
- 主要创伤分拣工具在形式,结构和内容方面存在显著的多样性.
- 量化变量和识别不同的工具类别可以指导未来的创伤选工具设计.
- 为了优化创伤患者管理,需要标准化和基于证据的设计.
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