希腊一个城市健康区域可预防的院前创伤死亡：院前创伤护理审计

Preventable prehospital trauma deaths in a Hellenic urban health region: an audit of prehospital trauma care.

作者信息

Papadopoulos I N, Bukis D, Karalas E, Katsaragakis S, Stergiopoulos S, Peros G, Androulakis G

机构信息

4th Surgical Department, University of Athens, General Hospital of Piraeus, Greece.

出版信息

J Trauma. 1996 Nov;41(5):864-9. doi: 10.1097/00005373-199611000-00018.

DOI:10.1097/00005373-199611000-00018

PMID:8913218

Abstract

OBJECTIVE

To identify preventable prehospital deaths, caused by trauma.

DESIGN

Analysis of 82 trauma victims who were dead on arrival (DOA) into our hospital.

SETTING

General Hospital of Piraeus, Greece.

MATERIALS AND METHODS

Evaluation of the autopsy findings of 82 DOAs.

MEASUREMENTS

Demographic, autopsy, and toxicology data, ICD9 codes, Abbreviated Injury Score (AIS)-90, Injury Severity Score (ISS)-body regions, central nervous system (CNS) deaths, non-CNS deaths, p values, and opinion of a clinical assessor.

MAIN RESULTS

The 29 (35.36%) DOAs had at least one AIS6 injury. Extracranial hemorrhage, airway, and breathing dysfunction were contributing factors of death of 27 "possibly preventable" CNS deaths, and the causes of death for the 20 non-CNS deaths. p value (0.5) indicated that 24 (29.26%) of the DOAs expected to survive. The clinical assessor characterized four (4.87%) as "definitely preventable" and 35 (42.65%) as "possibly preventable" deaths.

CONCLUSIONS

Upgrading of the emergency medical care service is required.

摘要

目的

确定由创伤导致的可预防的院前死亡。

设计

对82例送达我院时已死亡（DOA）的创伤受害者进行分析。

地点

希腊比雷埃夫斯综合医院。

材料与方法

评估82例DOA的尸检结果。

测量指标

人口统计学、尸检和毒理学数据、国际疾病分类第九版（ICD9）编码、简明损伤评分（AIS）-90、损伤严重程度评分（ISS）-身体部位、中枢神经系统（CNS）死亡、非CNS死亡、p值以及临床评估者的意见。

主要结果

29例（35.36%）DOA至少有一处AIS6级损伤。颅外出血、气道和呼吸功能障碍是27例“可能可预防”的CNS死亡以及20例非CNS死亡的死亡促成因素。p值（0.5）表明24例（29.26%）DOA有望存活。临床评估者将4例（4.87%）判定为“肯定可预防”死亡，35例（42.65%）判定为“可能可预防”死亡。