区域协同一体化创伤救治模式在严重创伤患者救治中的应用OA
Application of regional collaborative integrated trauma care model in the treat-ment of severely injured patients
目的 构建区域协同一体化创伤救治模式,评估其对严重创伤患者救治效率、并发症及满意度的影响.方法 采用前瞻性、非同期对照的类实验设计,选取遵义医科大学附属医院高级创伤中心2023年1月至2024年12月收治的748例严重创伤患者为研究对象,其中2023年1-12月实施传统流程的362例为对照组,2024年1-12月实施区域协同一体化创伤救治模式的386例为试验组.比较两组救治效率:全身快速CT检查时间、快速FAST评估时间、急诊输血准备时间、急诊手术准备时间、抢救成功率、住院期间并发症发生率及就诊满意度等方面的差异.结果 试验组在各项救治效率指标上均显著优于对照组(P<0.05),总体并发症发生率降低(P<0.05),患者就诊满意度更高,抢救成功率虽有所提高(98.70%vs 97.79%),但差异无统计学意义(P=0.322).结论 区域协同一体化创伤救治模式显著提升严重创伤患者的救治效率,降低住院期间并发症发生率,并改善患者就诊体验.与既往仅聚焦院内流程优化的一体化模式相比,本模式为提升区域创伤救治体系的整体效率提供了新的实践路径.
Objective To establish a regional integrated trauma care model and evaluate its impact on treatment efficiency,complications,and patient satisfaction in patients with severe trauma.Methods A prospective,non-simultaneous controlled quasi-experimental design was adopted.A total of 748 patients with severe trauma admit-ted to an advanced trauma center from January 2023 to December 2024 were enrolled.Among them,362 patients treated with the traditional workflow from January to December 2023 were assigned to the control group,while 386 patients treated with the regional integrated trauma care model from January to December 2024 were assigned to the experimental group.The two groups were compared in terms of treatment efficiency indicators,including time to whole-body rapid CT scan,time to rapid FAST assessment,time to emergency blood transfusion prepara-tion,time to emergency surgery preparation,success rate of resuscitation,incidence of in-hospital complications,and patient satisfaction.Results The experimental group showed significantly better outcomes in all treatment effi-ciency indicators compared with the control group(P<0.05).The overall incidence of complications was signif-icantly lower(P<0.05),and patient satisfaction was higher.Although the success rate of resuscitation was im-proved(98.70%vs 97.79%),the difference was not statistically significant(P=0.322).Conclusion The re-gional integrated trauma care model significantly enhances treatment efficiency,reduces the incidence of in-hos-pital complications,and improves patient experience in severe trauma cases.Compared with previous integrated models focusing solely on in-hospital workflow optimization,this model offers a new practical pathway for impro-ving the overall efficiency of regional trauma care systems.
杨柳;罗丹;苟贤娟;杨娅;李涛;唐浩;段海真;陈美
遵义医科大学附属医院急诊科,贵州遵义 563000遵义医科大学附属医院急诊科,贵州遵义 563000遵义医科大学附属医院急诊科,贵州遵义 563000遵义医科大学附属医院急诊科,贵州遵义 563000遵义医科大学附属医院急诊科,贵州遵义 563000遵义医科大学附属医院急诊科,贵州遵义 563000遵义医科大学附属医院急诊科,贵州遵义 563000遵义医科大学附属医院急诊科,贵州遵义 563000||遵义医科大学附属医院护理部,贵州遵义 563000
医药卫生
创伤救治区域协同早期康复救治效率并发症
trauma careregional coordinationearly rehabilitationtreatment efficiencycomplications
《遵义医科大学学报》 2026 (5)
502-507,6
国家临床重点专科建设项目(NO:xm040212)贵州省急诊医学临床医学研究中心[NO:黔科合平台LCZX(2025)004]贵州省卫生健康委科学技术基金资助项目(NO:gzwkj2023-550).
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