获得初级保健与严重创伤损伤后的长期生存率提高有关
Elliott K Yee1, Darby Little, Stephanie A Mason
1Department of Surgery, University of Toronto, Toronto, Ontario, Canada (E.K.Y., D.L., S.A.M., A.B.N., B.H.); Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada (L.C.R., G.P.); Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada (L.J.); ICES, Ontario, Canada (B.M.Z.); Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada (G.P.); Interdepartmental Division of Critical Care, University of Toronto, Toronto, Ontario, Canada (B.W.T., B.H.); and Department of Medicine, Division of Respirology, University Health Network, Toronto, Ontario, Canada (B.W.T).
严重创伤伤害的幸存者受益于获得初级保健,这与长期死亡率减少20%有关. 确保获得初级保健医生的机会对于改善严重伤害后的生存率至关重要.
科学领域:
- 创伤外科 手术 创伤外科
- 公共卫生 公共卫生
- 初级医疗保健医学 一级医疗保健医学
背景情况:
- 严重创伤幸存者面临的长期死亡风险增加.
- 减轻这一群体的长期死亡率的策略尚未得到充分理解.
- 初级保健在整体健康中的作用表明,与伤害后的生存存在潜在联系.
研究的目的:
- 研究重创伤害幸存者获得初级保健和长期生存之间的关联.
- 为了确定是否获得初级保健影响所有原因的死亡率在五年内下院后.
主要方法:
- 重度创伤伤害的成年人 (2010-2022) 的回顾性队列研究 (伤害严重性得分>15).
- 暴露:初级保健医生在受伤前2年内访问 (访问或注册).
- 结果:使用考克斯比例危险模型分析的5年全因死亡率.
主要成果:
- 在25713名重伤幸存者中,有92%的人获得了初级保健.
- 获得初级保健与5年死亡风险降低20%有关 (HR,0.80;95% CI,0.68-0.93).
- 这种关联在各个年龄,性别和并发症子组中保持一致.
结论:
- 缺乏初级保健的重伤幸存者显示出更高的5年死亡率.
- 初级保健医生是改善创伤幸存者的长期结果的重要合作伙伴.
- 针对初级保健准入可以减少脆弱的创伤后人群的死亡率.
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