根據(jù)一項發(fā)表在《健康設(shè)施研究期刊》的研究發(fā)現(xiàn),轉(zhuǎn)入I級外傷中心的腦外傷患者,比轉(zhuǎn)入II級科室的患者存活可能性更大.

研究人員分析了在1991年~1994年期間542例從農(nóng)村外傷中心轉(zhuǎn)入I級和II級外傷中心患者的資料.研究人群包括單純腦震蕩患者以及致命腦外傷的患者.死亡率根據(jù)院內(nèi)或者出院后30天內(nèi)死亡的情況來計算.

該研究小組發(fā)現(xiàn):轉(zhuǎn)入II級中心的患者死亡率下降了10%.I級中心提供精細(xì)的外傷護(hù)理,包括能夠立刻到場處理的各個專業(yè)的外傷醫(yī)生,必須掌握復(fù)蘇,神經(jīng)放射學(xué),以及血液透析技術(shù).同時,還必須要有培訓(xùn)方案,每年必須處理1200例外傷患者,或者240例嚴(yán)重外傷患者.II級中心的要求標(biāo)準(zhǔn)較低,并不需要具有教學(xué)和研究方案.

美國俄勒岡州健康與科學(xué)大學(xué)急診科助理教授,共同作者Craig Newgard指出:"我們的研究結(jié)果提示:在I級和II級中心緊急處理腦外傷的程序上和哲學(xué)上的差異,能夠解釋為何開始送入農(nóng)村醫(yī)院然后轉(zhuǎn)入I級中心的患者,其生存率要比轉(zhuǎn)入II級中心要高的原因." 【本文由美迪醫(yī)療網(wǎng)成揚編譯】
 
Trauma Centers Boost Head Injury Survival
 
Head-injury patients who are transferred to level I trauma centers are more likely to survive than those transferred to level II facilities, according to a new study published in the journal Health Services Research.

Researchers analyzed data on 542 patients sent from 31 rural trauma centers to level I and II trauma centers between 1991 and 1994. The study population included patients with simple concussions as well as patients with fatal traumatic brain injury. Mortality was based on death during hospitalization or within 30 days of discharge.

The research team found that mortality dropped 10% among patients transferred to level II centers. Level I centers provide comprehensive trauma care, including trauma doctors in every specialty who are immediately available, and must have resuscitation, neuroradiology, and hemodialysis technology. Also, they have training programs and are required to treat 1,200 injured patients or 240 major trauma patients annually. Level II centers have less-stringent volume performance standards and are not required to have teaching and research programs.

“Our results suggest that some of the operational and philosophical differences in the acute management of head-injured persons between level I and level II centers may actually translate into improved survival among patients initially presenting to rural hospitals and transferred to level I centers versus those transferred to level II centers,” noted co-author Craig Newgard, M.D., assistant professor of emergency medicine, Oregon Health & Science University (Portland, USA).