Cochran Amalia, Mann N Clay, Dean J Michael, Cook Lawrence J, Barton Richard G
Intermountain Injury Control Research Center, Salt Lake City, UT, USA.
Am J Surg. 2004 Jun;187(6):713-9. doi: 10.1016/j.amjsurg.2003.10.021.
This study compared resource utilization and its management for splenic injury at 2 level-I trauma centers and a pediatric referral center with other facilities in a state currently developing a trauma system.
Management strategy, length of stay, and total charges for children were compared among the pediatric referral center, trauma centers, and other facilities. Adult management, length of stay, and total charges were compared between trauma centers and other facilities.
Nonoperative management was more frequent in children at the pediatric referral center than trauma centers or other facilities and was more common in adults at trauma centers than at other facilities. Mean length of stay and total charges for children were significantly greater at the pediatric referral center and trauma centers than at other facilities and for adults at trauma centers than at other facilities. Facility type was associated with length of stay and total charges when injury type and severity were controlled.
Nonoperative management of splenic injury is more common at trauma centers, and splenic trauma management may be more costly at trauma centers.
本研究比较了两个一级创伤中心和一个儿科转诊中心对脾损伤的资源利用及其管理情况，与该州目前正在发展创伤系统的其他机构进行对比。
比较了儿科转诊中心、创伤中心和其他机构中儿童的管理策略、住院时间和总费用。比较了创伤中心和其他机构中成人的管理、住院时间和总费用。
儿科转诊中心的儿童非手术治疗比创伤中心或其他机构更频繁，创伤中心的成人非手术治疗比其他机构更常见。儿科转诊中心和创伤中心儿童的平均住院时间和总费用显著高于其他机构，创伤中心成人的平均住院时间和总费用也高于其他机构。在控制损伤类型和严重程度时，机构类型与住院时间和总费用相关。
创伤中心对脾损伤的非手术治疗更为常见，且创伤中心对脾创伤的管理成本可能更高。
Zotero 插件