美国潜水伤害创伤质量改进计划创伤注册表从2017年到2023年
Steven G Schauer1,2,3, Ashley E Sam4,5, Michael D April2,3
1US Army Institute of Surgical Research, JBSA Fort Sam Houston, TX.
Wilderness & environmental medicine
|November 18, 2025
概括
潜水伤害是罕见的创伤事件. 大多数患者幸存下来,并被送回家,但医院前的逮捕,缺乏生命迹象和严重的伤害显著降低了生存机会.
科学领域:
- 创伤外科 手术 创伤外科
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
背景情况:
- 潜水伤害是不常见的,但关键事件.
- 创伤质量改善计划 (TQIP) 注册表是分析国家创伤数据的关键资源.
研究的目的:
- 在TQIP注册表中调查潜水伤害的流行病学和结果.
- 为了确定与潜水伤害的创伤患者的生存相关的因素.
主要方法:
- 对2017-2023年TQIP注册表数据的分析.
- 纳入标准:创伤遇到的潜水或溺水作为主要/次要机制.
- 用描述性统计和多变量后勤回归来分析生存关联.
主要成果:
- 在超过800万次创伤遭遇中,发现了1677起潜水受伤病例.
- 57%的幸存者在没有进一步服务的情况下被送回家.
- 与生存率降低相关的因素包括医院前/住院停诊,缺乏初始生命迹象,以及头部/部,胸部和腹部严重受伤.
结论:
- 潜水伤害占TQIP注册中创伤病例的一小部分.
- 在创伤环境中,大多数潜水伤害患者存活到出院,经常返回家园.
- 关键因素如医院前逮捕,医院内逮捕,初始生命体征的缺失和广泛的伤害会对生存结果产生负面影响.
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