挪威一家医院接到的十次创伤急救呼叫中有九次是可以避免的：一项回顾性分析。
Nine out of ten trauma calls to a Norwegian hospital are avoidable: a retrospective analysis.
作者信息
Stordahl Harald, Passas Eva, Hopland Andreas, Nielsen Erik Waage
机构信息
Department of Anaesthesia and Intensive Care, Nordland Hospital Bodø, Bodø, Norway.
Department of Prehospital Medical Services, Nordland Hospital Bodø, Bodø, Norway.
出版信息
BMC Emerg Med. 2015 Feb 3;15(1):1. doi: 10.1186/s12873-015-0026-5.
BACKGROUND
Our aim was to estimate the degree of overtriage (Injury Severity Score [ISS] ≤ 15) of trauma call patients in Nordland Hospital Bodø, Norway. We also determined the transportation time from injury to hospital admission.
METHODS
We used data from our Acute Medical Information System, ambulance records and patient charts relating to ISS and estimation of response and transport times. Data were collected for all trauma call patients in the period from the establishment of the trauma call system in June 2008 until the 31st of December 2010.
RESULTS
We identified 421 out of 458 possible trauma call patients with sufficient clinical information available for ISS scoring. Of these 385 had an ISS ≤15. Overtriage was 91.5% (95% CI: 88.8%-94.2%). Median time from injury to the arrival of transport, and from injury to arrival in hospital, was 36 minutes and 1 hour 27 minutes, respectively.
CONCLUSIONS
To our knowledge 91.5% is the highest overtriage ever published. There is a need for narrowing the trauma call criteria. This could be achieved by implementing clinical observations during the long transportation time.
背景
我们的目的是评估挪威博德市诺德兰医院创伤呼叫患者的过度分诊程度（损伤严重度评分[ISS]≤15）。我们还确定了从受伤到入院的转运时间。
方法
我们使用了急性医疗信息系统、救护车记录以及与ISS相关的患者病历数据，并估算了响应和转运时间。收集了2008年6月创伤呼叫系统建立至2010年12月31日期间所有创伤呼叫患者的数据。
结果
我们在458名可能的创伤呼叫患者中识别出421名有足够临床信息可用于ISS评分的患者。其中385名患者的ISS≤15。过度分诊率为91.5%（95%置信区间：88.8%-94.2%）。从受伤到转运到达以及从受伤到入院的中位时间分别为36分钟和1小时27分钟。
结论
据我们所知，91.5%是有史以来公布的最高过度分诊率。有必要缩小创伤呼叫标准。这可以通过在较长的转运时间内进行临床观察来实现。
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