Objective To explore the value of integrated pre-hospital and in-hospital treatment model for severe trauma patients.Methods 96 severe trauma patients(pre-implementation group)who underwent traditional treatment model at Xinyu People's Hospital from August 2021 to August 2022 were selected(pre-implementation group);and 96 severe trauma patients who underwent integrated pre-hospital and in-hospital treatment model from September 2022 to September 2023 were selected(post-implementation group).And the effectiveness of treatment(assessment in terms of mortality,shock inci-dence,and the incidence of multiple organ dysfunction syndrome[MODS])and treatment time(pre-hospital emergency re-sponse time,in-hospital emergency time,ICU stay time,and length of stay)before and after implementation were compared.Injury severity(injury severity score[ISS])was compared before and after treatment.In addition,the satisfaction of pa-tients'family members before and after implementation was compared.Results Compared with the pre-implementation group,the incidence of mortality,shock and MODS was lower in the post-implementation group,and the satisfaction of pa-tients'family members was higher(P<0.05).The emergency response time,ICU stay time,and length of stay of the post-implementation group was shorter than that of the pre-implementation group,and in-hospital emergency time was longer than that of the pre-implementation group(P<0.001);the ISS score of patients in the post-implementation group was lower than that of the patients in the pre-implementation group(P<0.001).Conclusion Integrated pre-hospital and in-hospital treat-ment model has the advantages of high efficiency and speed,which can improve treatment effectiveness and reduce mortality when applied to patients with severe trauma.
关键词
严重创伤/传统救治/一体化救治/救治效果/救治时间
Key words
severe trauma/traditional treatment/integrated treatment/treatment effect/treatment time
维普
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