Sahr Sheryl M, Webb Michael L, Renner Catherine Hackett, Sokol Rachael K, Swegle James R
Division of Trauma Services, Department of Surgery, UnityPoint Health-Des Moines and The Iowa Clinic (Dr Sahr), Department of Surgery, UnityPoint Health-Des Moines (Dr Webb), Office of Research, UnityPoint Health-Des Moines (Dr Renner), Department of Emergency Medicine, UnityPoint Health-Des Moines and Health System Emergency Physicians (Dr Sokol), and Division of Trauma Services, Department of Surgery, UnityPoint Health-Des Moines and The Iowa Clinic (Dr Swegle), Des Moines, Iowa.
J Trauma Nurs. 2013 Oct-Dec;20(4):172-5; quiz 176-7. doi: 10.1097/JTN.0000000000000008.
Elderly patients are highly susceptible to rib fractures after trauma. The use of a clinical pathway to determine resource allocation for patients with rib fractures has resulted in positive treatment outcomes. This retrospective study assessed the efficacy of a triage protocol involving trauma services on hospital length of stay in elderly patients with fractured ribs. Patients who had 3 or more ribs fractured experienced a statistically significant reduction in hospital length of stay after protocol implementation. We conclude that elderly patients with 3 or more rib fractures should be systematically referred to a trauma specialist.
老年患者在创伤后极易发生肋骨骨折。采用临床路径来确定肋骨骨折患者的资源分配已产生了积极的治疗效果。这项回顾性研究评估了一种涉及创伤服务的分诊方案对老年肋骨骨折患者住院时间的疗效。在实施该方案后，肋骨骨折3根或更多根的患者住院时间在统计学上有显著缩短。我们得出结论，肋骨骨折3根或更多根的老年患者应被系统地转诊给创伤专科医生。
