Trauma patient outcome after the prehospital trauma life support program
Trauma patient outcome after the prehospital trauma life support program
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DOI：
10.1097/00005373-199706000-00005
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发表时间：
1997-06-01
影响因子：
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通讯作者：
Williams, JI
中科院分区：
文献类型：
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作者：
Ali, J;Adam, RU;Williams, JI
背景：我们之前已经证明，在特立尼达和多巴哥进行高级创伤生命支持（ATLS）项目后，创伤患者的预后有显著改善。1992年1月，还制定了院前创伤生命支持（PHTLS）计划。本研究评估了PHTLS项目后创伤患者的预后。方法：对1990年7月~ 1991年12月（住院前332例）和1994年1月~ 1995年6月（住院后350例）经救护车送至大院的成人外伤患者的发病率（住院时间、残疾程度）、死亡率、损伤严重程度评分、损伤机制、年龄、性别进行统计分析。结果：两组患者年龄、性别分布、钝性损伤百分比、损伤严重程度评分相似。phtls前的死亡率（15.7%）高于phtls后的死亡率（10.6%），住院时间和致残率在phtls后均显著降低。年龄、损伤严重程度评分、损伤机制与两期死亡率均呈正相关。先前报道的atls后死亡率与phtls前死亡率相似。结论：PHTLS后的死亡率和发病率显著降低，表明PHTLS项目对创伤患者的预后有积极影响。
Background: We have previously demonstrated a significant improvement in trauma patient outcome after the Advanced Trauma Life Support (ATLS) program in Trinidad and Tobago. In January of 1992, a Prehospital Trauma Life Support (PHTLS) program was also instituted. This study assessed trauma patient outcome after the PHTLS program.Methods: Morbidity (length of stay and degree of disability), mortality, injury severity score, mechanism of injury, age, and sex among all adult trauma patients transported by ambulance to the major trauma hospital were assessed between July of 1990 to December of 1991 (pre-PHTLS, n = 332) and January of 1994 to June of 1995 (post-PHTLS, n = 350).Results: Age, sex distribution, percentage blunt injury, and injury severity score were similar for both groups. Mortality pre-PHTLS (15.7%) was greater than post-PHTLS (10.6%), Length of stay and disability were statistically significantly decreased post-PHTLS. Age, injury severity score, and mechanism of injury were positively correlated with mortality in both periods. The previously reported post-ATLS mortality was similar to the pre-PHTLS mortality.Conclusions: Post-PHTLS mortality and morbidity were significantly decreased, suggesting a positive impact of the PHTLS program on trauma patient outcome.