Belgian Healthcare Knowledge Centre, Kruidtuinlaan 55, 1000, Brussels, Belgium.
Eur J Trauma Emerg Surg. 2019 Oct;45(5):885-892. doi: 10.1007/s00068-018-0932-9. Epub 2018 Feb 26.
In light of the international evolutions to establish inclusive trauma systems and to concentrate the care for the most severely injured in major trauma centres, we evaluated the degree of dispersion of trauma care in Belgium.
We used descriptive statistics to illustrate the dispersion of major trauma care in Belgium based on two independent administrative databases: the registry of Mobile Intensive Care Units (2009-2015) and the Belgian Hospital Discharge Dataset (2009-2014).
Patients with a severe trauma (n = 3856 in 2015) were transported towards 145 different hospital sites (on a total of 198 hospital sites) resulting in a median of 17 cases per hospital site (min = 1; P25 = 4; P75 = 30; max = 165). A minority of major trauma patients is after admission transferred to another hospital (8%) with a median of 10 days after admission to the hospital (IQR 3.5-24).
The dispersion of care for major trauma patients in Belgium is so high that a reorganisation of care for severe injured patients in major trauma centres concentrating professional expertise and specialised equipment is recommended to guarantee a high quality of care in a qualitative and sustainable way.
鉴于国际上建立包容性创伤系统的发展趋势，并将最严重创伤患者的救治集中在大型创伤中心，我们评估了比利时创伤救治的分散程度。
我们使用描述性统计方法，基于两个独立的行政数据库，即移动重症监护病房登记处（2009-2015 年）和比利时医院出院数据集（2009-2014 年），来展示比利时大型创伤救治的分散程度。
2015 年有 3856 名严重创伤患者被送往 145 个不同的医院，导致每个医院的中位数为 17 例（最小值=1；P25=4；P75=30；最大值=165）。少数大型创伤患者在入院后会被转移到另一家医院（8%），入院后中位数为 10 天（IQR 3.5-24）。
比利时大型创伤患者救治的分散程度如此之高，建议对严重创伤患者的救治进行重新组织，集中专业知识和专业设备，以有质量且可持续的方式保证高质量的救治。
