The Patterns and Quality of Acute Trauma Care in A University Hospital - A 5-year Analysis.

Omar A Bamalan, Ahmed A Alshaikhi, Nader M Alosaimi, Mamoun A Nabri, Adel J Osman, Humood A Alsadery, Ayman O Nasr
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Abstract

Background: Traumatic injuries contribute to over 5 million fatalities each year and cause a significant burden on healthcare systems' resources and availability. Traumatic injury patterns and a healthcare system's efficiency are critical to predicting patients' outcomes and should be regularly evaluated to deliver optimum care.

Objective: The study will present and discuss trauma qualty indicators (TQI's) to display the local practices' opportunities for improvement and analyze patterns of traumatic injuries and outcomes.

Methods: The study retrospectively analyzed trauma cases from January 2016 to December 2020, in which patients hospitalized and treated under the trauma unit were included. The collected data included several variables (e.g., demographics, mechanism of injury), and the patients were divided into early/late phase and severe/non-severe cases.

Results: In total, there were 2024 cases, 70% were polytraumas with a mean age of 29 years and a male-to-female ratio of 3.8:1. The most common mechanism of injury was motor vehicle collision (55%) while the most common injuries were pneumothorax (18%) and lung contusions (17%). Notably, there was a 3.5-hour reduction in both the time to the operating room and the time to normotension when comparing the early to late phase. The 30-day outcomes for the patients were 90.5% recovery, 2.2% disability, 2.2% transfer, and 5.1% mortality rates.

Conclusion: This study emphasizes how crucial trauma quality indicators are to achieve the best outcomes for patients. The results point to improvements in terms of trauma quality indicators and offer insightful information on patterns of traumatic injuries, aiding in the enhancement of trauma care. Thus, the continuous assessment of trauma quality indicators and the implementation of preventive measures are mandatory for the future advancement of trauma care.

一家大学医院的急性创伤护理模式和质量 - 5 年分析。
背景:创伤性伤害每年造成超过500万人死亡,并对医疗系统的资源和可用性造成重大负担。创伤性损伤模式和医疗保健系统的效率对于预测患者预后至关重要,应定期评估以提供最佳护理。目的:提出和探讨创伤质量指标(TQI),以显示当地实践的改进机会,并分析创伤损伤的模式和结果。方法:回顾性分析2016年1月至2020年12月在创伤科住院治疗的创伤病例。收集的数据包括多个变量(如人口统计学、损伤机制),并将患者分为早期/晚期和严重/非严重病例。结果:本组病例共2024例,其中多伤性占70%,平均年龄29岁,男女比例为3.8:1。最常见的损伤机制是机动车碰撞(55%),最常见的损伤是气胸(18%)和肺挫伤(17%)。值得注意的是,与早期和晚期相比,到手术室的时间和到血压正常的时间都减少了3.5小时。患者30天的结果为90.5%的恢复,2.2%的残疾,2.2%的转移和5.1%的死亡率。结论:本研究强调了创伤质量指标对患者获得最佳治疗效果的重要作用。结果指出了创伤质量指标方面的改进,并提供了创伤损伤模式的深刻信息,有助于加强创伤护理。因此,创伤质量指标的持续评估和预防措施的实施是创伤护理未来发展的必要条件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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