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确定中度至重度创伤性脑损伤后安全回家的决定因素和质量指标:澳大利亚创伤性脑损伤国家数据项目

Establishing determinants and quality indicators for getting home alive following moderate to severe traumatic brain injury: the Australian Traumatic Brain Injury National Data Project.

作者信息

O'Reilly Gerard M, Curtis Kate, Kim Yesul, Rushworth Nick, Mitra Biswadev, Tee Jin, Hunter Kate, Ryder Courtney, Hendrie Delia, Fitzgerald Mark C

机构信息

National Trauma Research Institute, Alfred Health, Melbourne, Victoria, Australia.

Emergency and Trauma Centre, Alfred Health, Melbourne, Victoria, Australia.

出版信息

Emerg Med Australas. 2021 Dec;33(6):1121-1123. doi: 10.1111/1742-6723.13861. Epub 2021 Sep 15.

Abstract

Moderate to severe traumatic brain injury (TBI) contributes to a significant burden across Australia. However, the data required to inform targeted equitable system-level improvements in emergency TBI care do not exist. The incidence and determinants of outcomes following moderate to severe TBI in Australia remain unknown. The variation in the impact of moderate to severe TBI, according to patient demographics and injury mechanism, is poorly defined. The Australian Traumatic Brain Injury National Data Project will lead to a clear understanding, across Australia and pre-specified subgroups (including Aboriginal and Torres Strait Islander peoples), of the incidence, determinants and impact of priority outcomes following moderate to severe TBI, including survival to discharge home. Furthermore, this project will establish a set of national clinical quality indicators for patients experiencing a moderate to severe TBI. The Australian Traumatic Brain Injury National Data Project will inform where to target emergency care system-wide improvements. Without baseline data, efforts are wasted.

摘要

中重度创伤性脑损伤(TBI)给澳大利亚带来了沉重负担。然而,目前尚不存在用于指导有针对性地公平改善急诊TBI护理系统层面所需的数据。澳大利亚中重度TBI后结局的发生率和决定因素仍不明确。根据患者人口统计学特征和损伤机制,中重度TBI影响的差异界定不清。澳大利亚创伤性脑损伤国家数据项目将使澳大利亚及预先指定的亚组(包括原住民和托雷斯海峡岛民)清楚了解中重度TBI后优先结局的发生率、决定因素和影响,包括存活至出院回家。此外,该项目将为中重度TBI患者建立一套国家临床质量指标。澳大利亚创伤性脑损伤国家数据项目将为在何处进行全系统的急诊护理改善提供指导。没有基线数据,努力就会白费。

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