Waller J A, Skelly J M, Davis J H
Department of Medicine, University of Vermont, Burlington 05405, USA.
J Trauma. 1995 Mar;38(3):325-9. doi: 10.1097/00005373-199503000-00002.
Most studies from trauma centers analyze and present combined data on patients from their surrounding communities and patients referred for specialized services from service areas of other hospitals. Information is needed about the effect of combining data from the two groups on conclusions about injury in the community.
All injured patients seen in a trauma center emergency department of 30% of days over one year were studied concerning referral status, age, sex, type of activity when injured, injury type and severity, hospitalization, and prior medical history.
Combining data for both groups suggested an older, more medically impaired population, with more severe injuries, more frequent hospitalization, more serious head and spine injuries, fewer extremity fractures, and fewer household-related and more transportation-related injuries than were actually occurring in the community.
Data from local and out-of-area referred patients at trauma centers should be analyzed and presented separately in studies from this source if an accurate representation is to be provided of the role of injury in the population at large of the community.
大多数创伤中心的研究分析并呈现来自其周边社区患者以及从其他医院服务区域转诊来接受专科治疗患者的综合数据。需要了解将两组数据合并对有关社区损伤结论的影响。
对一家创伤中心急诊科在一年中30%的天数里接诊的所有受伤患者的转诊状态、年龄、性别、受伤时的活动类型、损伤类型与严重程度、住院情况及既往病史进行研究。
将两组数据合并后显示，该群体年龄更大、医疗受损情况更严重，损伤更严重，住院更频繁，头部和脊柱损伤更严重，四肢骨折更少，家庭相关损伤更少而交通相关损伤更多，而这些情况与社区实际发生的情况不符。
如果要准确呈现损伤在整个社区人群中的作用，在源于此类创伤中心的研究中，应分别分析和呈现来自本地及外地转诊患者的数据。
