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增加的医院前门使用归因于未经指示的使用:一项11年的回顾性研究
Daniel J Hedger1, Mitchell Smith1, Natasha Weaver2
1Department of Traumatology, John Hunter Hospital, Newcastle, NSW, 2310, Australia.
概括
在平民创伤中,医院前带的使用正在增加,主要是由于未经指示的应用. 这种过度使用与并发症有关,强调需要严格遵守指南.
科学领域:
- 创伤护理的护理人员.
- 紧急医疗 紧急医疗
- 外科手术的结果
背景情况:
- 在平民创伤中,用于控制出血的医院前带 (PHTQ) 的使用量有所增加.
- 对于在非紧急情况下过度使用PHTQ存在担忧.
研究的目的:
- 为了确定非指示的医院前门应用的比例.
- 分析随着时间的推移非指示PHTQ使用的趋势.
主要方法:
- 追溯分析88个PHTQ应用在创伤患者超过11年的时间.
- 根据当地PHTQ指南定义的非指示用途.
- 收集了关于患者人口统计,伤害,带应用和结果的数据.
主要成果:
- 77%的PHTQ应用被认为是不适用的.
- 在研究期间,非指示PHTQ使用的比例显著增加 (p=0.03).
- 可能与PHTQ使用相关的并发症发生在38%的患者中,随着长时间的带应用,并发症增加到85%.
结论:
- 在平民创伤中增加了医院前带的使用,这是由非指示的应用驱动的.
- 与不必要的带使用相关的并发症,迫切需要加强指导方针.
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