Duke University School of Nursing, Durham North Carolina.
Duke University School of Nursing, Durham North Carolina.
J Surg Res. 2021 Jun;262:47-56. doi: 10.1016/j.jss.2020.12.034. Epub 2021 Feb 3.
The trauma burden in South Africa is significant. The objective of this project was to investigate the incidence of posttrauma pulmonary complications (PPCs) and to identify patient, health risks, and hospital factors, which predispose trauma patients to develop PPCs hospital in Pietermaritzburg, South Africa.
The design was a retrospective secondary data analysis of patients who presented as a trauma admission via the health systems' Hybrid Electronic Medical Registry. The final data set included 6382 trauma admissions.
The PPC rate was 9.4% for patients with a surgical intervention versus 1.9% for those without a surgical intervention. Of the total 289 PPCs reported, the most common included pneumonia or atelectasis (46.4%) and prolonged ventilation (36.0%). The risk of developing a PPC was statistically significantly (P < 0.0001) associated with surgical intervention and the number of surgeries.
The trauma burden in South Africa requires complex medical and surgical interventions. The incidence of PPCs is significantly associated with surgical intervention. With the increasing demand to harness data and improve patient care, the Hybrid Electronic Medical Registry proves to be a driver for quality improvement.
南非的创伤负担很大。本项目的目的是调查创伤后肺部并发症（PPCs）的发生率，并确定使创伤患者易患 PPCs 的患者、健康风险和医院因素。
设计为通过卫生系统的混合电子病历对创伤入院患者进行回顾性二次数据分析。最终数据集包括 6382 例创伤入院患者。
接受手术干预的患者 PPC 发生率为 9.4%，而未接受手术干预的患者 PPC 发生率为 1.9%。在报告的 289 例 PPC 中，最常见的包括肺炎或肺不张（46.4%）和通气时间延长（36.0%）。发生 PPC 的风险与手术干预和手术次数有统计学显著关联（P<0.0001）。
南非的创伤负担需要复杂的医疗和手术干预。PPC 的发生率与手术干预显著相关。随着利用数据和改善患者护理的需求不断增加，混合电子病历证明是提高质量的驱动力。
