追踪开放骨折患者的医院前时间进程
James D Brodell1, Andrew J Rodenhouse1, Hashim J F Shaikh1
1Department of Orthopaedics and Physical Performance, University of Rochester Medical Center, Rochester, NY, USA.
Injury
|July 3, 2025
概括
许多开口骨折患者在医院前护理中经历了延迟,超过一个小时. 在医院抵达之前早期使用抗生素可以显著降低骨折相关感染 (FRI) 的风险.
科学领域:
- 创伤外科 手术 创伤外科
- 紧急医疗 紧急医疗
- 传染性疾病 传染性疾病
背景情况:
- 及时服用抗生素对于管理开口骨折和预防感染至关重要.
- 目前的指导方针侧重于医院内抗生素的时间,通常是在抵达后一小时内.
- 医院前延误对骨折相关感染 (FRI) 风险的影响尚不清楚.
研究的目的:
- 调查开放骨折患者的医院前时间过程.
- 确定从受伤到医院护理的时间延迟超过一个小时的患者的比例.
- 探索医院前时间与FRI发展之间的关联.
主要方法:
- 在一级创伤中心接受治疗的454名成年骨折患者的回顾性病例系列.
- 数据包括医院前 (调度,现场,运输) 和住院时间,骨折细节和FRI发展.
- 用描述性统计数据分析时间间隔和相关性.
主要成果:
- 超过一半 (52.6%) 的患者从发送后的转移护理时间超过了一个小时.
- 平均医院前时间为66.8分钟,直升机运输显示较长的延误 (84.1分钟).
- 只有3.7%的患者接受了医院前的抗生素,而长时间的医院前时间与FRI发展有积极的相关性.
结论:
- 显著数量的开放骨折患者经历了长时间的医院前延误.
- 增加的医院前时间与患骨折相关感染的风险更高有关.
- 医院前的抗生素给药提供了一种潜在的策略,以减轻开口骨折患者的感染风险.
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