Wenneker W W, Murray D H, Ledwich T
Department of Surgery, Queen of the Valley Hospital, Napa, CA.
Am J Surg. 1990 Dec;160(6):655-7; discussion 657-8. doi: 10.1016/s0002-9610(05)80768-8.
A study of motor vehicle accident deaths occurring in Napa County, California, from 1979 through 1983 showed that there was a preventable death rate of 42% for deaths that were not related to central nervous system injuries. After developing a Level II trauma center at our hospital, the preventable death rate decreased to 14%. This was statistically significant (total chi-square, 0.01 less than p less than 0.025). There was a significant increase in the average Injury Severity Score (34 versus 45, p less than 0.005) as well as significant improvements in the surgeon's response time (32 minutes versus 11 minutes, p less than 0.005) and in the time from hospital arrival to the start of surgery (3.6 hours versus 1.9 hours, 0.01 less than p less than 0.025). We conclude that these changes are indicative of improved trauma care and reflect favorably upon the effectiveness of a rural trauma center that meets Level II trauma center guidelines established by the American College of Surgeons Committee on Trauma.
一项针对1979年至1983年发生在加利福尼亚州纳帕县的机动车事故死亡情况的研究表明，对于与中枢神经系统损伤无关的死亡，可预防死亡率为42%。在我们医院建立二级创伤中心后，可预防死亡率降至14%。这具有统计学意义（总卡方检验，0.01 < p < 0.025）。平均损伤严重度评分显著增加（从34升至45，p < 0.005），外科医生的反应时间（从32分钟降至11分钟，p < 0.005）以及从入院到手术开始的时间（从3.6小时降至1.9小时，0.01 < p < 0.025）也有显著改善。我们得出结论，这些变化表明创伤护理得到了改善，并且对符合美国外科医师学会创伤委员会制定的二级创伤中心指南的农村创伤中心的有效性给予了积极反映。
