Rural prehospital trauma systems improve trauma outcome in low-income countries: A prospective study from north Iraq and Cambodia
Rural prehospital trauma systems improve trauma outcome in low-income countries: A prospective study from north Iraq and Cambodia
复制标题
DOI：
10.1097/01.ta.0000073609.12530.19
复制
发表时间：
2003-06-01
影响因子：
--
通讯作者：
Murad, M
中科院分区：
文献类型：
--
作者：
Husum, H;Gilbert, M;Murad, M
背景在伊拉克北部和柬埔寨进行了为期五年的前瞻性研究，以测试农村院前创伤系统在低收入countries.Results：从1997年至2001年，135名当地护理人员和5,200奠定第一反应者的模型进行了培训，提供现场创伤护理。研究人群包括1，061名创伤患者，平均疏散时间为5.7小时。在研究期间，创伤死亡率从干预前的40%降至14.9%（95% CI，差异为17.2-33.0%）。创伤死亡率从1997年的23.9%下降到2001年的8.8%（95%CI差异为7.8-22.4%），治疗效果也相应地逐年显著改善。在整个研究期间，感染并发症的发生率保持在21.5%。结论低成本的农村创伤系统对低收入国家的创伤死亡率有重大影响。
Background. A five-year prospective study was conducted in North Iraq and Cambodia to test a model for rural prehospital trauma systems in low-income countries.Results: From 1997 to 2001, 135 local paramedics and 5,200 lay First Responders were trained to provide in-field trauma care. The study population comprised 1,061 trauma victims with mean evacuation time 5.7 hours. The trauma mortality rate was reduced from pre-intervention level at 40% to 14.9% over the study period (95% CI for difference 17.2-33.0%). There was a reduction in trauma deaths from 23.9% in 1997 to 8.8% in 2001 (95% CI for difference 7.8-22.4%), and a corresponding significant improvement of treatment effect by year. The rate of infectious complications remained at 21.5 percent throughout the study period. Conclusion. Low-cost rural trauma systems have a significant impact on trauma mortality in low-income countries.