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与创伤相关的可预防死亡的分类;荷兰的德尔菲程序
N A G Hakkenbrak1, A M K Harmsen2, W P Zuidema2
1Trauma Unit, Department of Surgery, Amsterdam University Medical Centre, the Netherlands; Trauma Unit, Department of Surgery, Northwest Clinics, Alkmaar, the Netherlands.
Injury
|May 24, 2025
概括
定义与创伤相关的可预防死亡对于评估创伤护理质量至关重要. 专家倾向于结合临床定义和创伤预测算法,特别是TRISS与生存概率,以提高准确性.
科学领域:
- 创伤护理研究 创伤护理研究
- 改善医疗质量 改善医疗质量
- 医学中的预测分析.
背景情况:
- 与创伤相关的可预防死亡是评估全球创伤护理质量的关键指标.
- 目前缺乏与创伤相关的可预防死亡的标准化定义,这阻碍了一致的评估.
- 启动了Delphi程序,以建立共识定义并评估对创伤预测算法的需求.
研究的目的:
- 在创伤相关可预防死亡的定义上达成多学科共识.
- 评估将创伤预测算法纳入定义的必要性和益处.
- 确定最适合用于创伤护理评估的创伤预测算法.
主要方法:
- 一个三轮的数字Delphi程序,涉及荷兰1级创伤中心的创伤护理专家.
- 参与者包括创伤外科医生,神经外科医生,法医医生,麻醉师和急诊医生.
- 使用电子问卷收集专家对定义和预测算法的意见.
主要成果:
- 54名小组成员完成了这项研究,代表了各种创伤护理专业.
- 最初的轮回倾向于临床定义,人们越来越倾向于结合临床定义和创伤预测算法.
- 大多数 (63%) 倾向于在综合方法上达成共识,同意使用创伤得分和伤害严重程度得分 (TRISS) 与生存概率 (PS) 结合在一起作为最佳算法.
结论:
- 确定与创伤相关的可预防死亡的明确定义对于创伤护理评估至关重要.
- 在这个定义上达成多学科共识具有挑战.
- 有一个明显的趋势,即在临床定义上达成一致,并承认TRISS与PS结合用于预测存活率的附加值.
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