创伤激活接触点作为在脆弱人群中检测未被诊断的并发病的机会
Kian C Banks1, Andrea M Gochi1, Nathan J Alcasid1
1Department of Surgery, University of California San Francisco-East Bay, Oakland, California.
The Journal of emergency medicine
|November 9, 2025
概括
创伤激活 (TA) 揭示了非私人保险患者的高血压和糖尿病等未被诊断的疾病. 早期的临床指标和随访护理可以提高这些并发病的诊断率.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
- 内部医学 内部医学
背景情况:
- 许多创伤患者出现未被诊断的并发症,特别是在非私人保险人口中.
- 在创伤激活 (TA) 时可量化的指标可能表明这些隐藏的诊断存在.
研究的目的:
- 在TA中确定可量化的指标,表明未被诊断的并发症.
- 评估早期临床指标与TA后一年内新诊断之间的联系.
主要方法:
- 在2021年1级创伤中心对250名创伤患者的回顾性评估.
- 收集的数据包括血压,葡萄糖水平,实验室测试,初级保健医生 (PCP) 预约和随后的诊断.
- 根据国家指导方针定义高血压和高血糖症;分析了与新诊断的关联.
主要成果:
- 在没有先前高血压诊断的患者中,47.2%的患者在住院期间达到第一阶段高血压标准,25.3%的患者在住院期间达到第二阶段高血压标准.
- 在没有先前诊断为糖尿病的患者中,8.2%的患者在住院期间出现过高血糖症.
- 在TA的PCP随访和高血压/高血糖分别独立预测了新的高血压和糖尿病诊断.
结论:
- 创伤和紧急情况设置提供了机会,以识别潜在的并发症条件.
- 创伤护理与纵向医疗保健的积极整合可以改善患者的治疗结果.
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