与枪支相关的非致命血管损伤:创伤护理的临床和财务影响
Melanie Jones1, Katharine Tracy1, George Liu1
1Department of Surgery, Wellstar MCG Health Medical Center, Augusta, GA.
Annals of vascular surgery
|May 29, 2025
概括
涉及血管创伤的非致命枪支伤害显著增加了医疗保健费用和停留时间. 内血管技术可能为管理这些严重损伤提供一种不那么侵入性的,更具成本效益的替代方案.
科学领域:
- 创伤外科 手术 创伤外科
- 血管外科 血管外科
- 公共卫生 公共卫生
背景情况:
- 枪支暴力是一个主要的公共卫生危机,导致严重的血管损伤,高发病率和死亡率.
- 与枪支相关的血管创伤导致严重的长期残疾,经济负担和医疗保健资源利用率的增加.
- 复杂的外科干预和广泛的术后护理通常需要对主要血管损伤,增加成本和住院费用.
研究的目的:
- 检查与涉及血管创伤的非致命枪支伤害 (NFIs) 相关的成本,停留时间和手术负担.
- 与传统的开放手术相比,探索内血管技术在减少并发症和成本方面的潜在作用.
- 了解血管枪支伤害的财务和临床影响,以优化治疗策略.
主要方法:
- 从2019-2021年对一级学术创伤中心注册表的回顾性审查.
- 纳入标准:所有患有非致命枪支伤害 (NFI) 的患者.
- 使用IBM SPSS (版本29.0) 进行了描述性分析和独立样本T测试.
主要成果:
- 在359名患者中,104名 (29%) 患有血管损伤.
- 血管损伤患者的平均总费用 (49,050美元与31,763美元相比,P=0.006) 和平均逗留时间 (10.88天与7.68天,P=0.012) 显着更高.
- 血管创伤患者需要更多的手术室 (2.53对1.61),P=0.013).
结论:
- 优化对血管损伤的创伤管理是非常重要的,因为资源利用率很高.
- 内血管技术显示,作为开放性修复的潜在成本效益较低的替代方案,具有较少的侵入性.
- 需要进一步研究成本有效的策略,包括血管内干预措施,以改善血管枪支伤害的结果.
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