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中国医院创伤登记系统的现状。

The status of trauma registry systems in Chinese hospitals.

机构信息

Critical Care and Trauma Division, The George Institute for Global Health, Sydney, Australia.

出版信息

Inj Prev. 2011 Dec;17(6):419-21. doi: 10.1136/injuryprev-2011-040216. Epub 2011 Oct 13.

Abstract

Injuries are a major source of mortality and morbidity in China with approximately 66 million citizens requiring emergency medical care. Trauma registries provide the basis for quality assurance processes and inform the treatment of the injured patient. Against the backdrop of the recently established Chinese National Injury Surveillance System, the feasibility of establishing a multicentre trauma registry in a limited number of hospitals was examined. Seven hospital directors reported on a range of hospital characteristics including patient volume information and the types of patient information routinely collected. The findings indicate significant numbers of patients presenting due to injury, though little comparability in the type of information collected both between hospitals and with international trauma registry systems. The development of multicentre trauma registry is suggested as a way to monitor trauma system performance. The integration of clinical indicators into the National Injury Surveillance System in the long term is also recommended.

摘要

在中国,创伤是导致死亡和发病的主要原因之一,约有 6600 万公民需要紧急医疗救治。创伤登记系统为质量保证过程提供了基础,并为创伤患者的治疗提供了依据。在中国最近建立的国家伤害监测系统的背景下,研究了在少数几家医院建立多中心创伤登记系统的可行性。7 位医院院长报告了一系列医院特征,包括患者量信息和常规收集的患者信息类型。调查结果表明,有大量因受伤而就诊的患者,但各医院之间以及与国际创伤登记系统之间收集的信息类型在可比性上存在显著差异。建议建立多中心创伤登记系统以监测创伤系统的运行情况。还建议将临床指标纳入国家伤害监测系统,从长远来看也是如此。

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