被接收至一级创伤中心后的转运时间。

Transfer Time After Acceptance to a Level I Trauma Center.

作者信息

Nielsen Ena, Skaggs David L, Harris Liam R, Andras Lindsay M

机构信息

Children's Orthopedic Center, Children's Hospital Los Angeles, Los Angeles, CA.

出版信息

J Am Acad Orthop Surg Glob Res Rev. 2018 Feb 2;2(2):e081. doi: 10.5435/JAAOSGlobal-D-17-00081. eCollection 2018 Feb.

DOI:10.5435/JAAOSGlobal-D-17-00081

PMID:30211378

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6132317/

Abstract

BACKGROUND

Timely treatment of pediatric orthopaedic emergencies at level I trauma centers is frequently dependent on transfers from neighboring centers.

METHODS

Records were collected from our level I trauma center for patients with isolated orthopaedic issues accepted for transfer in 2015. Open fractures, compartment syndrome, septic arthritis, and supracondylar humerus fractures with ecchymosis or neurovascular compromise were emergent. The rush hour was 6 am to 10 am and 3 pm to 7 pm.

RESULTS

Ninety-six patients met the inclusion criteria; 19% (18/96) were orthopaedic emergencies and 37% (35/96) occurred during the rush hour. The average time from transfer acceptance to accepting hospital admission was 203 minutes (range, 68 to 584 minutes; SD, 85.8 minutes). The average time from transfer acceptance to departure from the transferring facility was 114 minutes (range, 7 to 391 minutes; SD, 71.9 minutes). There was no correlation between the transfer time and rush hour ( = 0.40), emergent versus nonemergent ( = 0.42), or routed distance from the hospital ( = 0.46).

CONCLUSION

The average transfer time exceeded 3 hours and was independent of the distance, the rush hour, or urgency of patient condition. An average 2-hour delay was encountered for patients while leaving a medical facility after acceptance of transfer.

摘要

背景

一级创伤中心对小儿骨科急症的及时治疗常常依赖于从周边中心的转运。

方法

收集了我们一级创伤中心2015年接收的因单纯骨科问题而接受转运患者的记录。开放性骨折、骨筋膜室综合征、化脓性关节炎以及伴有瘀斑或神经血管损伤的肱骨髁上骨折属于急症。高峰时段为上午6点至10点以及下午3点至7点。

结果

96例患者符合纳入标准；19%（18/96）为骨科急症，37%（35/96）发生在高峰时段。从接受转运到接收医院入院的平均时间为203分钟（范围为68至584分钟；标准差为85.8分钟）。从接受转运到离开转运机构的平均时间为114分钟（范围为7至391分钟；标准差为71.9分钟）。转运时间与高峰时段（=0.40）、急症与非急症（=0.42）或与医院的路程距离（=0.46）之间均无相关性。