Bamalan Omar A, Alshaikhi Ahmed A, Alosaimi Nader M, Nabri Mamoun A, Osman Adel J, Alsadery Humood A, Nasr Ayman O
Department of General Surgery, Security Forces Hospital, Dammam, Kingdom of Saudi Arabia.
Emergency Department, King Fahd Hospital of the University, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia.
Med Arch. 2024;78(3):226-231. doi: 10.5455/medarh.2024.78.226-231.
Traumatic injuries contribute to over 5 million fatalities each year and cause a significant burden on healthcare systems' resources and availability. Traumatic injury patterns and a healthcare system's efficiency are critical to predicting patients' outcomes and should be regularly evaluated to deliver optimum care.
The study will present and discuss trauma qualty indicators (TQI's) to display the local practices' opportunities for improvement and analyze patterns of traumatic injuries and outcomes.
The study retrospectively analyzed trauma cases from January 2016 to December 2020, in which patients hospitalized and treated under the trauma unit were included. The collected data included several variables (e.g., demographics, mechanism of injury), and the patients were divided into early/late phase and severe/non-severe cases.
In total, there were 2024 cases, 70% were polytraumas with a mean age of 29 years and a male-to-female ratio of 3.8:1. The most common mechanism of injury was motor vehicle collision (55%) while the most common injuries were pneumothorax (18%) and lung contusions (17%). Notably, there was a 3.5-hour reduction in both the time to the operating room and the time to normotension when comparing the early to late phase. The 30-day outcomes for the patients were 90.5% recovery, 2.2% disability, 2.2% transfer, and 5.1% mortality rates.
This study emphasizes how crucial trauma quality indicators are to achieve the best outcomes for patients. The results point to improvements in terms of trauma quality indicators and offer insightful information on patterns of traumatic injuries, aiding in the enhancement of trauma care. Thus, the continuous assessment of trauma quality indicators and the implementation of preventive measures are mandatory for the future advancement of trauma care.
创伤性损伤每年导致超过500万人死亡，并给医疗系统的资源和可及性带来巨大负担。创伤性损伤模式和医疗系统的效率对于预测患者的预后至关重要，应定期进行评估以提供最佳护理。
本研究将展示并讨论创伤质量指标（TQI），以显示当地医疗实践中有待改进的机会，并分析创伤性损伤和预后模式。
本研究回顾性分析了2016年1月至2020年12月的创伤病例，纳入在创伤科住院治疗的患者。收集的数据包括多个变量（如人口统计学、损伤机制），患者被分为早期/晚期和重度/非重度病例。
总共2024例病例，70%为多发伤，平均年龄29岁，男女比例为3.8:1。最常见的损伤机制是机动车碰撞（55%），最常见的损伤是气胸（18%）和肺挫伤（17%）。值得注意的是，与早期相比，晚期患者的手术室时间和恢复正常血压的时间均减少了3.5小时。患者30天的预后情况为：恢复率90.5%；残疾率2.2%；转院率2.2%；死亡率5.1%。
本研究强调了创伤质量指标对于实现患者最佳预后的关键作用。结果表明创伤质量指标方面有所改善，并提供了有关创伤性损伤模式的深刻见解，有助于提高创伤护理水平。因此，持续评估创伤质量指标并实施预防措施对于创伤护理的未来发展至关重要。
