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越南城市地区交通事故患者的急救现状及其与健康结局的关系。

The Status of First Aid and Its Associations with Health Outcomes among Patients with Traffic Accidents in Urban Areas of Vietnam.

机构信息

Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam.

Department of Trauma, Thai Binh University of Medicine and Pharmacy, Thai Binh 410000, Vietnam.

出版信息

Int J Environ Res Public Health. 2020 Jun 26;17(12):4600. doi: 10.3390/ijerph17124600.

DOI:10.3390/ijerph17124600
PMID:32604838
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7344911/
Abstract

While it is well-evident that proper first aid would significantly promote survival and later treatment outcomes, little attention has been paid to improving its capacity in Vietnam. Thus, we conducted this study to assess the status of first aid and its associations with health outcomes among patients in traffic accidents in urban areas of Vietnam. We conducted a cross-sectional study on 413 patients in traffic accidents from October to December 2018 at six hospitals in Thai Binh province. Socio-demographics, first aid characteristics, and health outcomes were collected via face-to-face interviews using a structured questionnaire. We used a chi-square test to determine the differences in health outcomes among those who received first aid and those without. In addition, a multivariable regression was performed to determine the factors associated with first aid. The results indicated that less than half of the patients received first aid (48.1%), and only one fourth received first aid within 10 min after an accident. The proportions of having problems with mobility, self-care, usual activities, and pain/discomfort were significantly lower among those who received first aid compared to those without it. The regression model showed that those with multiple injuries were less likely to receive first aid.

摘要

虽然很明显,适当的急救可以显著提高生存和后续治疗效果,但越南很少关注提高急救能力。因此,我们进行了这项研究,以评估越南城市地区交通事故患者的急救状况及其与健康结果的关系。我们于 2018 年 10 月至 12 月在泰平省的六家医院对 413 名交通事故患者进行了一项横断面研究。通过面对面访谈和使用结构化问卷收集社会人口统计学、急救特征和健康结果数据。我们使用卡方检验来确定接受急救和未接受急救的患者在健康结果方面的差异。此外,还进行了多变量回归分析,以确定与急救相关的因素。结果表明,不到一半的患者(48.1%)接受了急救,而且只有四分之一的患者在事故发生后 10 分钟内接受了急救。与未接受急救的患者相比,接受急救的患者在活动、自理、日常活动和疼痛/不适方面出现问题的比例明显较低。回归模型显示,多发性损伤的患者不太可能接受急救。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ee5/7344911/ee96196da4ce/ijerph-17-04600-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ee5/7344911/ee96196da4ce/ijerph-17-04600-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ee5/7344911/ee96196da4ce/ijerph-17-04600-g001.jpg

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