农村院前创伤系统改善低收入国家的创伤治疗效果：一项来自伊拉克北部和柬埔寨的前瞻性研究。
Rural prehospital trauma systems improve trauma outcome in low-income countries: a prospective study from North Iraq and Cambodia.
作者信息
Husum Hans, Gilbert Mads, Wisborg Torben, Van Heng Yang, Murad Mudhafar
机构信息
Tromsoe Mine Victim Resource Center, Norway.
出版信息
J Trauma. 2003 Jun;54(6):1188-96. doi: 10.1097/01.TA.0000073609.12530.19.
BACKGROUND
A five-year prospective study was conducted in North Iraq and Cambodia to test a model for rural prehospital trauma systems in low-income countries.
RESULTS
From 1997 to 2001, 135 local paramedics and 5,200 lay First Responders were trained to provide in-field trauma care. The study population comprised 1,061 trauma victims with mean evacuation time 5.7 hours. The trauma mortality rate was reduced from pre-intervention level at 40% to 14.9% over the study period (95% CI for difference 17.2-33.0%). There was a reduction in trauma deaths from 23.9% in 1997 to 8.8% in 2001 (95% CI for difference 7.8-22.4%), and a corresponding significant improvement of treatment effect by year. The rate of infectious complications remained at 21.5 percent throughout the study period.
CONCLUSION
Low-cost rural trauma systems have a significant impact on trauma mortality in low-income countries.
背景
在伊拉克北部和柬埔寨开展了一项为期五年的前瞻性研究，以测试低收入国家农村院前创伤系统模型。
结果
1997年至2001年期间，135名当地护理人员和5200名非专业急救人员接受了培训，以提供现场创伤护理。研究人群包括1061名创伤受害者，平均后送时间为5.7小时。在研究期间，创伤死亡率从干预前的40%降至14.9%（差异的95%置信区间为17.2 - 33.0%）。创伤死亡人数从1997年的23.9%降至2001年的8.8%（差异的95%置信区间为7.8 - 22.4%），且每年治疗效果有相应显著改善。在整个研究期间，感染并发症发生率保持在21.5%。
结论
低成本农村创伤系统对低收入国家的创伤死亡率有显著影响。
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