Study on remedy effect of trauma integrated centralized treatment model in severe multiple injuries
Objective To explore the influence of trauma integrated centralized treatment model of the level 1 trauma center in Jiangxi Province on the remedy effect of the patients with severe multiple injuries.Methods A total of 671 cases of severe multiple injuries(control group)admitted and treated in this hospital from January 2016 to April 2021 and 337 patients with severe multiple injuries(study group)treated in the level 1 trauma center in Jiangxi Province after its establishment from January 2019 to April 2021 were selected as the research subjects.The general data,hospital stay duration and cost,time from the visit to the comple-tion of the CT examination,time of starting blood transfusion,emergency room holdup time,time of emergen-cy surgery patients entering the operating room and hospital mortality rate were compared between the two groups.Results There was no statistically significant difference in the general data such as gender,age,cause of injury and ISS score between the study group and the control group,as well as the average length of hospi-tal stay and cost(P＞0.05).The completion rate of CT examination within 30 min(55.79％vs.35.93％,P＜0.001),blood transfusion beginning rate within 30 min(60.00％vs.10.64％,P＜0.001),and the rate of entering the operating room within 1 h of the patients undergoing emergency surgery(42.07％vs.16.31％,P=0.015)in the study group were significantly higher than those in the control group,and the differences were statistically significant(P＜0.05).The emergency room holdup time[55(40,71)min vs.96(75,120)min,P＜0.001]and hospital mortality rate(3.86％vs.8.38％,P＜0.001)in the study group were signifi-cantly lower than those in the control group,and the differences were statistically significant.Conclusion The trauma integrated centralized treatment model realizes the concentrate treatment of the patients with multiple injuries,optimized the remedy process and operating mode,effectively shortens the treatment waiting time,increases the reme-dy efficiency and decreases the mortality rate of the patients,which is worthy of further promotion.
trauma centerfirst aid modesevere multiple injuriesinjury severity scoreremedy effect
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