Survival outcomes after traumatic brain injury during national academic meeting days in Japan.

Survival outcomes after traumatic brain injury during national academic meeting days in Japan.
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DOI:
10.1038/s41598-021-94759-4
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发表时间:
2021-07-26
期刊:
影响因子:
4.6
通讯作者:
Shimazu T
Shimazu T
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Hosomi S;Kitamura T;Sobue T;Ogura H;Shimazu T

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外科医生和医务人员每年多次参加学术会议。然而,没有足够的证据证明“会议效应”对创伤性脑损伤(TBI)治疗和结果的影响。我们利用日本创伤数据库,分析了2004年至2018年日本急性医学会、日本重症监护医学会、日本创伤外科协会、日本神经创伤学会和日本神经外科学会全国学术会议期间入院的TBI患者的数据。这些患者的数据与会议前后 1 周入院的 TBI 患者的数据进行了比较。主要结局是院内死亡。我们的分析中纳入了 7320 名患者,其中在非会议日和会议日期间分别收治了 5139 名和 2181 名患者;他们的院内死亡率分别为15.7%和14.5%。院内死亡率没有发现显着差异(调整后的比值比,0.93;95% 置信区间,0.78-1.11)。此外,按全国会议类型划分,会议期间和非会议日的院内死亡率没有显着差异。在日本,参与 TBI 治疗的医疗专业人员参加全国性学术会议是可以接受的,而不影响 TBI 患者的治疗结果。
Surgeons and medical staff attend academic meetings several times a year. However, there is insufficient evidence on the influence of the “meeting effect” on traumatic brain injury (TBI) treatments and outcomes. Using the Japan Trauma Data Bank, we analyzed the data of TBI patients admitted to the hospital from 2004 to 2018 during the national academic meeting days of the Japanese Association for Acute Medicine, the Japanese Society of Intensive Care Medicine, the Japanese Association for the surgery of trauma, the Japan Society of Neurotraumatology and the Japan Neurosurgical Society. The data of these patients were compared with those of TBI patients admitted 1 week before and after the meetings. The primary outcome was in-hospital death. We included 7320 patients in our analyses, with 5139 and 2181 patients admitted during the non-meeting and meeting days, respectively; their in-hospital mortality rates were 15.7% and 14.5%, respectively. No significant differences in in-hospital mortality were found (adjusted odds ratio, 0.93; 95% confidence interval, 0.78–1.11). In addition, there were no significant differences in in-hospital mortality during the meeting and non-meeting days by the type of national meeting. In Japan, it is acceptable for medical professionals involved in TBI treatments to attend national academic meetings without impacting the outcomes of TBI patients.
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