创伤性脑损伤诊断缺陷的专家评估,每日死亡率取决于治疗时间和患者住院时间

IF 0.7 Q3 MULTIDISCIPLINARY SCIENCES
A. Pletenetska, I. Demchenko, Y. Varfolomeiev
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引用次数: 0

摘要

创伤性脑损伤(TBI)评估中常见的诊断错误是未能识别和正确评估初始损伤。本研究通过分析基辅市临床急救医院收治的102例TBI患者入院后24小时内死亡病例(2012-2019年)的病历,探讨创伤性脑损伤诊断缺陷与治疗时间和住院时间相关的日病死率。对死者的病史和法医尸检数据进行了分析。研究发现,在住院时间长达3小时的患者中,诊断程序缺陷的数量最多,例如缺乏对头部损伤局部状况的完整描述,缺乏对血液动力学和呼吸功能的全面评估和客观化,以及缺乏神经可视化。随着患者住院时间的延长,法医工作者和临床医生之间诊断不一致的病例比例也越来越高。死亡人数最多的科室因住院时间和治疗时间而异。神经外科的死亡人数最多,持续时间为6至12小时,而多发创伤科在前3小时内的死亡人数最多。神经内科的死亡人数最多,住院时间为6至12小时。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
EXPERT ASSESSMENT OF DIAGNOSTIC DEFECTS IN TRAUMATIC BRAIN INJURY WITH DAILY FATALITY RATES DEPENDING ON THE DURATION OF TREATMENT AND PATIENTS' HOSPITAL STAY
One common diagnostic error in traumatic brain injury (TBI) assessment is the failure to recognize and properly evaluate the initial injury. The aim of our study was to find out diagnostic defects in traumatic brain injury with daily fatality rates depending on the duration of treatment and patients' hospital stay by analyzing the medical records of patients in Kyiv City Clinical Emergency Hospital. 102 cases of fatalities that occurred within 24 hours after admission to KCCEH (2012-2019 years) in cases of TBI were analyzed. Medical histories of the deceased and data from the forensic autopsy had been analyzed. It was found that the highest number of defects in diagnostic procedures, such as the absence of a complete description of the local status of head injuries, the lack of comprehensive assessment and objectification of hemodynamics and respiratory function, and the absence of neurovisualization, were found among patients who stayed in the hospital for up to 3 hours. There was a higher percentage of cases with discrepancies in diagnoses between forensic medical workers and clinicians as the duration of patients' hospital stay increased. The departments where the highest number of deaths occurred varied based on the duration of stay and treatment. The neurosurgical department had the highest number of deaths with a duration of 6 to 12 hours, while the polytrauma department had the highest number of deaths within the first 3 hours. The neurological department had the highest number of deaths with a duration of stay in the hospital from 6 to 12 hours.
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来源期刊
AD ALTA-Journal of Interdisciplinary Research
AD ALTA-Journal of Interdisciplinary Research MULTIDISCIPLINARY SCIENCES-
自引率
71.40%
发文量
12
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