From the Division of Vascular Surgery, Western University, London, Ont.
Can J Surg. 2019 Dec 1;62(6):499-501. doi: 10.1503/cjs.002317.
Trauma care has evolved similarly in the United States and Canada over the last 3 decades. Like much of modern trauma care, management of vascular trauma has been influenced by combat surgery experiences in recent wars. The American Association for the Surgery of Trauma sponsored the Prospective Observational Vascular Injury Treatment (PROOVIT) registry to document changes in the treatment of vascular trauma and determine outcomes in the US. However, differences in trauma populations and trauma systems between Canada and the US need to be considered. Here we compare the vascular trauma experience at a Canadian level I trauma centre over a 5-year period to the data in the PROOVIT registry.
在过去的 30 年里,美国和加拿大的创伤护理也经历了类似的发展。与现代创伤护理的大部分内容一样,血管创伤的管理受到了最近几场战争中战斗外科手术经验的影响。美国创伤外科学会(American Association for the Surgery of Trauma)赞助了前瞻性观察性血管损伤治疗(Prospective Observational Vascular Injury Treatment,PROOVIT)登记处,以记录血管创伤治疗的变化,并确定美国的治疗结果。然而,加拿大和美国的创伤人群和创伤系统之间的差异需要加以考虑。在这里,我们将加拿大一级创伤中心 5 年来的血管创伤经验与 PROOVIT 登记处的数据进行了比较。