创伤中心水平和术后死亡率:来自韩国的全国性队列研究
Tak Kyu Oh1,2, In-Ae Song1,2, Young-Tae Jeon3,4
1Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Gumi-ro 173, Beon-gil, Bundang-gu, Seongnam, 13620, South Korea.
Scientific reports
|November 18, 2025
概括
韩国的低级创伤中心与创伤手术后的术后死亡率增加有关. 这突出了创伤中心指定的关键作用和基础设施在改善患者的结果.
科学领域:
- 创伤学 创伤学 创伤学
- 医疗保健服务研究 医疗服务研究
- 外科手术的结果
背景情况:
- 创伤中心指定对外科手术结果的影响在亚洲系统中未得到充分研究.
- 在韩国,将创伤中心水平与术后死亡率联系在一起的证据有限.
研究的目的:
- 调查韩国创伤中心水平与手术后死亡率之间的关联.
- 评估创伤中心指定对创伤手术后手术结果的影响.
主要方法:
- 全国范围的队列研究使用2021年韩国国家健康保险服务数据.
- 包括在指定创伤中心在全身麻醉下接受创伤手术的成年人 (≥18岁).
- 根据政府评估,将中心分为A级 (最高),B级和C级 (最低);使用多变量物流和考克斯回归模型进行分析.
主要成果:
- 与A级相比,B级 (OR,1.51) 和C级 (OR,4.16) 中心的90天死亡率调整后的几率较高.
- 一年死亡率的增加与B级 (HR,1.19) 和C级 (HR,1.91) 的中心相比,与A级的中心有关.
- 在创伤中心水平之间没有发现医院内术后并发症率的显著差异.
结论:
- 低级创伤中心与创伤手术后的术后死亡率明显增加有关.
- 创伤中心的指定和强大的基础设施对于改善创伤患者的外科治疗结果至关重要.
- 调查结果可以为国家创伤护理系统的发展和完善提供信息.
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