全州范围内的儿科创伤协作对可预防的转移率和性格的影响
Jack H Scaife1, Christopher E Clinker, Anastasia M Kahan
1From the Department of Surgery, University of Utah School of Medicine, Salt Lake City, Utah.
The journal of trauma and acute care surgery
|January 27, 2026
概括
犹他州儿科创伤网络 (UPTN) 通过标准化护理,减少了可以预防的患者转移. 这种创伤网络减少了过度选,特别是在创伤性脑损伤方面,改善了儿科创伤的结果.
科学领域:
- 儿科创伤护理 儿童创伤护理
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- 犹他州儿科创伤网络 (UPTN) 成立于2019年,旨在标准化全犹他州儿科创伤护理的基于证据的指导方针.
- 这项研究评估了UPTN对该州唯一一级儿科创伤中心可预防转移 (PT) 的数量和性质的影响.
研究的目的:
- 评估UPTN建立与可预防的儿科创伤转移率和特征的变化之间的相关性.
- 为了确定区域创伤网络是否有效地减少儿科患者的过量选.
主要方法:
- 对2013年至2023年间转移的创伤儿童进行了回顾性分析.
- 定义的风险是UPTN建立 (2019年1月1日) 后发生的转移.
- 确定可预防的转移 (PTs) 是在48小时内没有手术或高级成像检查的情况下出院的患者.
主要成果:
- 总共有6036个儿科转移被分析;3025个UPTN前和3011个UPTN后.
- 总体可预防的转移率从UPTN前的36%显著下降到UPTN后的29% (p < 0.001).
- 在UPTN后,内出血 (15%对20%) 和体固体器官损伤 (4.3%对5.5%) 的转移比例减少,骨科损伤的比例更高 (36%对28%). 内出血的PT率从47%降至37% (p < 0.001).
结论:
- 建立区域创伤网络显著降低了可以预防的儿科创伤转移的总体速度.
- 创伤性脑损伤在转移比例和可预防的转移率方面经历了最实质性的减少.
- 创伤网络是减少儿科创伤护理过度选的有效工具.
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