Elder G M, Harvey E J, Vaidya R, Guy P, Meek R N, Aebi M
Sault Area Hospitals, Queen Street, East Sault Ste. Marie, Ont., Canada.
Injury. 2005 Sep;36(9):1060-6. doi: 10.1016/j.injury.2005.05.001.
In countries with universal health care systems patients frequently wait days for their "emergency" surgery. A general trend in orthopaedic traumatology is the advent of daily, dedicated orthopaedic trauma theatres. Availability of trauma theatres is believed to decrease morbidity and mortality, but this remains unproven. A retrospective review comparing morbidity and mortality outcomes between two similar level-one trauma centres (one without a dedicated trauma room system) was undertaken. We reviewed 701 elderly patients receiving hemiarthroplasties for displaced subcapital hip fractures over a 76-month period. Patients were similar between centres in terms of age, gender ratio and comorbidities. Statistically significant differences were found favouring the dedicated trauma room system with approximately half the operative delay and post-operative morbidity. A trend towards decreased mortality was also seen. This study supports the use of regular orthopaedic trauma theatres in tertiary care institutions.
在拥有全民医疗保健系统的国家，患者常常要等待数天才能接受“急诊”手术。骨科创伤学的一个总体趋势是出现了每日专用的骨科创伤手术室。创伤手术室的存在被认为可降低发病率和死亡率，但这一点尚未得到证实。我们进行了一项回顾性研究，比较了两个类似的一级创伤中心（其中一个没有专用创伤室系统）之间的发病率和死亡率结果。我们回顾了701例在76个月期间因股骨颈移位骨折接受半髋关节置换术的老年患者。两个中心的患者在年龄、性别比例和合并症方面相似。结果发现，专用创伤室系统具有统计学上的显著优势，手术延迟和术后发病率约为一半。死亡率也有下降趋势。这项研究支持在三级医疗机构使用常规骨科创伤手术室。
