创伤需求的发展:骨科病例数量的趋势和重大创伤中心服务适应,2016-2024年
1Trauma and Orthopaedics, North Bristol National Health Service Trust, Bristol, GBR.
Cureus
|November 28, 2025
概括
英国创伤服务面临着越来越多的患者数量和复杂的病例,导致延误增加. 该研究显示,时间敏感的手术显著增加,迫使医院使用适应,并影响患者护理.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科 手术 创伤外科
- 医疗保健运营管理 医疗保健运营管理
背景情况:
- 英国的医疗保健服务,包括创伤和骨科,由于人口老龄化和不断增长而受到压力.
- 选择性外科手术的国家目标增加了运营能力,但创伤服务没有看到同等的扩张.
- 这种差异在管理越来越多的创伤工作负载方面带来了挑战.
研究的目的:
- 量化2016年至2024年间英国主要创伤中心创伤工作量变化.
- 评估创伤服务如何适应这些变化.
- 提供数据,以帮助未来的创伤和骨科护理服务规划.
主要方法:
- 使用每日创伤会议列表和操作记录进行回顾性运营审计.
- 数据收集自2016年6月和11月,2019年,2021年和2024年的数据.
- 统计分析包括线性回归和标志测试来确定显著性.
主要成果:
- 虽然整体创伤手术的数量略有增加 (4.36%),但时间敏感的手术,如开口骨折 (47%) 和大腿骨折 (70%) 的数量大幅增加.
- 上肢骨折手术增加了46%,而脚骨折的增长很小 (2.9%).
- 该服务通过将程序重新分配到可选清单,并利用可选的空病房时间来适应,每天的创伤会议和列出的手术显著增加.
结论:
- 随着时间敏感的创伤患者数量的增加,需要通过改变剧院利用来适应,包括将程序迁移到可选清单.
- 该服务越来越依赖于额外的可选剧院时间和临时的额外剧院来管理多余的创伤工作量.
- 如果没有额外的创伤名单或半选择性门诊选择,创伤量不断增加将威胁到安全和及时的患者护理.
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