Jennett B, Murray A, Carlin J, McKean M, MacMillan R, Strang I
Br Med J. 1979 Oct 20;2(6196):955-8. doi: 10.1136/bmj.2.6196.955.
The organisation of care for patients with head injuries in Scotland was investigated by studying retrospectively 785 patients admitted in 1974 and 1975 to neurosurgical units in Glasgow, Aberdeen, and Dundee. The reasons for the injuries and the patients' clinical conditions were similar in each unit. The referral practices at the hospitals containing the units were compared and found to be different from that of the unit in Edinburgh. It is concluded that patients in the Glasgow, Aberdeen, and Dundee units, which operate a similar policy for head-injured patients, are in general similar. Transferring to a neurosurgical unit only selected patients rather than all patients with head injuries is safe practice only if policies are agreed with primary surgeons and patients can be transferred without delay.
通过回顾性研究1974年和1975年收治到格拉斯哥、阿伯丁和邓迪神经外科病房的785例患者，对苏格兰头部受伤患者的护理组织情况进行了调查。各病房患者的受伤原因和临床状况相似。对设有这些病房的医院的转诊做法进行了比较，发现与爱丁堡病房的做法不同。得出的结论是，格拉斯哥、阿伯丁和邓迪病房对头部受伤患者采取类似政策，总体情况相似。只有在与主刀医生达成一致政策且患者能够立即转诊的情况下，仅挑选部分患者而非所有头部受伤患者转诊至神经外科病房才是安全的做法。
