美发现外伤中心能够增加脑外伤患者的存活率

根据一项发表在《健康设施研究期刊》的研究发现,转入I级外伤中心的脑外伤患者,比转入II级科室的患者存活可能性更大.

研究人员分析了在1991年~1994年期间542例从农村外伤中心转入I级和II级外伤中心患者的资料.研究人群包括单纯脑震荡患者以及致命脑外伤的患者.死亡率根据院内或者出院后30天内死亡的情况来计算.

该研究小组发现:转入II级中心的患者死亡率下降了10%.I级中心提供精细的外伤护理,包括能够立刻到场处理的各个专业的外伤医生,必须掌握复苏,神经放射学,以及血液透析技术.同时,还必须要有培训方案,每年必须处理1200例外伤患者,或者240例严重外伤患者.II级中心的要求标准较低,并不需要具有教学和研究方案.

美国俄勒冈州健康与科学大学急诊科助理教授,共同作者Craig Newgard指出:"我们的研究结果提示:在I级和II级中心紧急处理脑外伤的程序上和哲学上的差异,能够解释为何开始送入农村医院然后转入I级中心的患者,其生存率要比转入II级中心要高的原因." 【本文由美迪医疗网成扬编译】
 
Trauma Centers Boost Head Injury Survival
 
Head-injury patients who are transferred to level I trauma centers are more likely to survive than those transferred to level II facilities, according to a new study published in the journal Health Services Research.

Researchers analyzed data on 542 patients sent from 31 rural trauma centers to level I and II trauma centers between 1991 and 1994. The study population included patients with simple concussions as well as patients with fatal traumatic brain injury. Mortality was based on death during hospitalization or within 30 days of discharge.

The research team found that mortality dropped 10% among patients transferred to level II centers. Level I centers provide comprehensive trauma care, including trauma doctors in every specialty who are immediately available, and must have resuscitation, neuroradiology, and hemodialysis technology. Also, they have training programs and are required to treat 1,200 injured patients or 240 major trauma patients annually. Level II centers have less-stringent volume performance standards and are not required to have teaching and research programs.

“Our results suggest that some of the operational and philosophical differences in the acute management of head-injured persons between level I and level II centers may actually translate into improved survival among patients initially presenting to rural hospitals and transferred to level I centers versus those transferred to level II centers,” noted co-author Craig Newgard, M.D., assistant professor of emergency medicine, Oregon Health & Science University (Portland, USA).