紧急创伤结果的综合元分析:趋势,干预和生存率
Aiming Li1, Qiaoyan Feng1, Ye Zhao1
1Department of Emergency, Taizhou Hospital of Zhejiang Province, Taizhou, Zhejiang, China.
Frontiers in public health
|December 15, 2025
概括
结构化的创伤系统和创伤中心可以提高患者的生存率. 然而,创伤护理的显著差异仍然存在,特别是在低收入和中等收入国家 (LMICs).
科学领域:
- 公共卫生 公共卫生
- 创伤外科 手术 创伤外科
- 卫生系统研究 卫生系统研究
背景情况:
- 创伤是全球主要的健康问题,低收入和中等收入国家 (LMICs) 的死亡率不成比例.
- 高收入国家通过结构化系统改善了创伤结果,而LMICs面临更大的负担.
- 在全球范围内,创伤护理获得和结果的显著差异仍然存在.
研究的目的:
- 评估创伤中心和有组织的创伤系统对减少创伤患者死亡率的影响.
- 综合关于创伤护理结构在不同人群和伤害类型中的有效性证据.
主要方法:
- 2010年至2022年间出版的同行评审研究的元分析,来自PubMed,Scopus和谷歌学者.
- 包括对创伤中心/系统与非创伤环境进行比较的研究,以及实施前与后的结果.
- 综合使用相对风险 (RR) 和95%置信区间 (CI) 的数据,并对出版偏差进行评估.
主要成果:
- 18项研究符合纳入标准.
- 在创伤中心组织创伤护理与死亡风险降低有关 (RR=1.14;95% CI:0.98-1.34).
- 创伤系统的实施显示,死亡率显著下降 (RR=1.87;95% CI:0.79-4.43).
结论:
- 创伤中心和系统在改善创伤患者生存率方面发挥着至关重要的作用.
- 创伤护理的持续差异,特别是在LMIC和农村环境中,需要进一步关注.
- 未来的研究应该专注于长期的结果和策略,以减轻创伤护理方面的不平等.
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