Crandon I W, Harding-Goldson H E, Benaris M, McDonald A H
Department of Surgery, Radiology, Anaesthesia and Intensive Care, The University of the West Indies, Kingston 7, Jamaica.
West Indian Med J. 2007 Jun;56(3):226-9. doi: 10.1590/s0043-31442007000300006.
The prospectively collected data in the Jamaica National Trauma Registry operated by the Section of Surgery identified 88 patients who were admitted with head injury to the University Hospital of the West Indies over a one-year period. There were 67 males (76.1%), the mean (SD) age of the entire group being 35.02 (+/- 18.45) years. Intentional injuries occurred in 47.2%. The Injury Severity Score was greater than 15 in 19.3%, severe head injuries occurred in 19% and overall mortality was 16%. Care in the Intensive Care Unit (ICU) was extended to only half of those with the severe injuries. The Scottish Intercollegiate Guidelines Network (SIGN) method was used to assess the appropriateness of admission to hospital. Sixteen (18%) of the 88 patients were inappropriately admitted according to SIGN guidelines. Increased efficiency may result from standardization of admission criteria for head-injured patients and consistent implementation of the SIGN guidelines for admission without increased risk to patients. This may be expected to minimize unnecessary admissions and result in considerable cost savings.
由外科部门运营的牙买加国家创伤登记处前瞻性收集的数据显示，在一年时间里，有88名因头部受伤而入住西印度群岛大学医院的患者。其中男性67名（76.1%），整个组的平均（标准差）年龄为35.02（±18.45）岁。故意伤害占47.2%。损伤严重度评分大于15的占19.3%，重度头部损伤占19%，总体死亡率为16%。重症监护病房（ICU）的护理仅覆盖了一半的重伤患者。采用了苏格兰校际指南网络（SIGN）方法来评估入院的适宜性。根据SIGN指南，88名患者中有16名（18%）入院不当。通过标准化头部受伤患者的入院标准以及持续实施SIGN入院指南，可能会提高效率，同时不会增加患者风险。这有望减少不必要的入院情况，并节省大量成本。
