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重大创伤和并发病:一个范围审查

Rosie Glynn¹, Felicity Edwards^1,2, Martin Wullschleger^1,3,4,5

¹Queensland University of Technology (QUT), Brisbane, QLD, Australia.

European journal of trauma and emergency surgery : official publication of the European Trauma Society

|March 13, 2025

概括

患有心血管疾病和糖尿病等先前存在的疾病的重创患者面临更糟糕的结果,包括更高的死亡率和更长的住院时间. 需要更多的研究来了解并发症如何影响创伤风险和发育.

科学领域:

创伤护理和研究结果的研究结果.
公共卫生和流行病学.

背景情况:

严重的创伤是死亡和残疾的重要原因.
已经存在的并发症可能会使创伤管理复杂化,并影响患者的预后.
了解并发症对创伤结果的影响对于改善患者护理至关重要.

研究的目的:

对伴随性疾病对重大创伤结果的影响进行范围审查.
确定有关创伤患者共患病的研究缺口.

主要方法:

在Embase,Medline,CINAHL,Cochrane图书馆和PubMed的系统文献搜索.
包括从研究开始到2021年4月的研究 (更新至2024年3月).
专注于成人重大创伤患者 (≥18岁) 与并发症作为不良结果的风险因素.

主要成果:

在5448项已识别的研究中,有33项研究符合纳入标准.
没有研究检查伴随性疾病是否会增加创伤风险;只有两个研究了创伤后伴随性疾病的发展.
已经存在的并发症,特别是心血管疾病,糖尿病,肝脏和脏疾病,与更高的死亡率,发病率,更长的住院时间和增加的并发症相关.

结论:

患有并发症的创伤患者经历的结果明显更差.
进一步的研究是必不可少的,以阐明共发病症和创伤风险/发展之间的双向关系.
需要基于更清楚地理解这些关系的有针对性的干预措施.

关键词:

病例死亡率病例死亡率伴随性疾病伴随性疾病全球疾病负担全球疾病负担物理物理物理物理创伤是一个创伤.伤口和伤害的伤口和伤害.

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