Methodologic issues in hospital-based injury research.

Methodologic issues in hospital-based injury research.
复制标题

医院损伤研究的方法学问题。

DOI:
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发表时间:
1988
期刊:
Journal of Trauma
影响因子:
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通讯作者:
J. A. Waller
J. A. Waller
中科院分区:
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文献类型:
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作者:
J. A. Waller

文献摘要

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Studies of trauma patients at clinical facilities commonly are flawed because nothing is known about kinetic or other energy forces causing injuries, and analysis may be limited only to inpatients, with no knowledge about those not injured, those with injuries not requiring treatment, those seen only in the emergency department, or those who died at the scene. Such problems are exacerbated in studies from trauma centers, whose populations reflect additional triage. Where alcohol is involved, acute intoxication may cause erroneous AIS, ISS, and Glasgow Coma Scale ratings based on initial patient assessment. Also, selective differences in frequency of testing for alcohol among different categories of patients can alter results.