两家医院共用一个创伤系统：一种联合救治创伤患者的方法。
Two hospitals with 1 trauma system: a joint approach to the care of the injured patient.
机构信息
Department of Surgery, University of Nebraska Medical Center, Omaha, NE 68198-3280, USA.
出版信息
Am J Surg. 2012 Apr;203(4):454-60. doi: 10.1016/j.amjsurg.2011.04.006. Epub 2011 Sep 9.
BACKGROUND
Trauma centers are closing at an alarming rate, but the need for trauma care persists. This article shows the sustainability and feasibility of a joint trauma system whereby 2 university-affiliated hospitals function as a single trauma center system in a moderate-sized city.
METHODS
Since 1994, 3 days per week, trauma patients are transported by emergency medical services (EMS) to hospital A. The other 4 days they are transported to hospital B. Trauma registry data from 1994 to 2008 were analyzed. Cost data were also examined.
RESULTS
The joint system admitted 28,338 trauma patients. On each center's nontrauma days, trauma team activation was required infrequently. The 2 centers share costs; they perform joint outreach, educational training, and quality control. The joint trauma system has been sustained since 1994.
CONCLUSIONS
Two hospitals functioning as a single trauma center system is a viable model of care for injured patients in a moderate-sized city with mostly blunt trauma.
背景
创伤中心的关闭速度令人震惊，但对创伤护理的需求仍然存在。本文展示了一种联合创伤系统的可持续性和可行性，即两所大学附属医院在一个中等城市作为一个单一的创伤中心系统运作。
方法
自 1994 年以来，每周有 3 天，创伤患者通过紧急医疗服务（EMS）被送往医院 A。其他 4 天则被送往医院 B。对 1994 年至 2008 年的创伤登记数据进行了分析。同时也检查了成本数据。
结果
联合系统收治了 28338 名创伤患者。在每个中心的非创伤日，创伤小组的激活很少需要。这两个中心共同承担成本；他们进行联合外展、教育培训和质量控制。自 1994 年以来，联合创伤系统一直在持续运作。
结论
两所医院作为一个单一的创伤中心系统，为一个以钝器伤为主的中等城市的受伤患者提供了一种可行的护理模式。
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