[通过整合CT减少创伤患者的急诊室时间]

[Reduced emergency room time for trauma patients by integrated CT].

作者信息

Riepl C, Junghanns A, Gebhard F, Kraus M

机构信息

Unfallchirurgie, Hand-, Plastische und Wiederherstellungschirurgie, Universitätsklinikum Ulm.

出版信息

Z Orthop Unfall. 2013 Apr;151(2):168-72. doi: 10.1055/s-0032-1328403. Epub 2013 Apr 25.

DOI:10.1055/s-0032-1328403

PMID:23619650

Abstract

BACKGROUND

A new emergency room (ER) has been established in our trauma centre including an integrated CT scanner. The former ER was located at a long distance from the CT. The aim of this study was to evaluate the influence of the integrated CT in the new ER on the time period from hospital admission to CT diagnostics as well as on the total ER time period.

MATERIAL AND METHODS

Data from the old ER (2005-2007) have been compared with those from the new ER (2009). All patients whose data have been transmitted to the German Trauma Registry (DGU) have been included. For statistics the Mann-Whitney U test has been used.

RESULTS

Data of 457 patients could be included. Time from admission to CT scan in the old ER had an average of 35 ± 27 min (4-240 min), in the new ER 13 ± 10 min (1-67 min; p < 0.001). The total ER time could be reduced from 86 ± 42 min (10-240) in the old ER to 61 ± 33 min (5-190; p < 0.001) in the new ER.

CONCLUSIONS

Time from hospital admission to CT scan as well as the total ER time period can be reduced by using an integrated CT scanner.

摘要

背景

我们的创伤中心新建了一间配备一体化CT扫描仪的急诊室（ER）。之前的急诊室距离CT室较远。本研究旨在评估新急诊室中一体化CT对从入院到CT诊断的时间以及急诊室总时长的影响。

材料与方法

将旧急诊室（2005 - 2007年）的数据与新急诊室（2009年）的数据进行比较。纳入所有已将数据传输至德国创伤登记处（DGU）的患者。统计分析采用曼 - 惠特尼U检验。

结果

共纳入457例患者的数据。旧急诊室从入院到CT扫描的时间平均为35 ± 27分钟（4 - 240分钟），新急诊室为13 ± 10分钟（1 - 67分钟；p < 0.001）。急诊室总时长可从旧急诊室的86 ± 42分钟（10 - 240分钟）降至新急诊室的61 ± 33分钟（5 - 190分钟；p < 0.001）。