Recent trends in hospitalization and in-hospital mortality associated with traumatic brain injury in Canada: A nationwide, population-based study
Recent trends in hospitalization and in-hospital mortality associated with traumatic brain injury in Canada: A nationwide, population-based study
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DOI：
10.1097/ta.0000000000000754
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发表时间：
2015-09-01
影响因子：
3.4
通讯作者：
Chung, Kevin K.
中科院分区：
文献类型：
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作者：
Shelhamer, Mehdi C.;Rowan, Matthew P.;Chung, Kevin K.
背景自2012年以来，军事医务人员(军事医务人员)在民间协会科学会议(SM)上的护理工作一直由中央管理。我们的目的是记录军民互动对战斗伤亡护理(CCC)研究的重要性以及这种变化对CCC研究的影响。方法(1)我们确定了2005至2014年间由MMP发表的25篇具有临床意义的CCC文章；我们确定在这些文章之前是否有由损伤控制复苏(MMPs)在SM上发表的文章。(2)我们检查了关于“损害控制复苏”(DCR)的不断变化的军民混合出版物。(3)我们分析了每年在美国创伤外科学会(American Association For The Surgery Of The Suruma)上提交的MMPs的数量。(4)我们回顾了AAST前几任主席(1992-2014)是否有军事经验。结果(1)92%的CCC文章以前在SM上提交；66%是在AAST等民间协会场所提交的；(2)DCR第一次被描述是在2006年；军民出版物的比例从2006年的0稳步上升到2014年的80%。(3)在AAST上，军民口述报告的数量在2005-2007年间达到顶峰，自2012年以来下降到每年一到两次。(4)最近几任Aast总裁中有33%有军事经验，而上一届为100%。结论最近的冲突导致了在CCC研究方面的军民合作，并导致DCR等思想从军事传播到民事保健。然而，长期趋势(例如，全国服兵役率的下降)将这种合作置于危险之中。需要大力努力促进中央控制中心至关重要的军民联系。
BACKGROUNDAttendance by military medical personnel (MMP) at scientific meetings (SMs) of civilian associations has been centrally managed since 2012. We aimed to document the importance of civilian-military interaction to and the impact of this change on combat casualty care (CCC) research.METHODS(1) We identified 25 clinically significant CCC articles published by MMP between 2005 and 2014; we determined whether these articles were preceded by presentation by MMP at an SM.(2) We examined the changing civilian-military mix of publications on “damage control resuscitation”(DCR).(3) We analyzed the number of presentations by MMP each year at the American Association for the Surgery of Trauma.(4) We reviewed whether past presidents of the AAST (for 1992–2014) had military experience.RESULTS(1) Ninety-two percent of the CCC articles were previously presented at an SM; 66% were presented at civilian association venues such as AAST.(2) DCR was first described in 2006; the civilian-military mix of publications rose steadily from 0 in 2006 to 80% in 2014.(3) The number of MMP oral presentations at AAST peaked during 2005 to 2007 and has declined to one to two per year since 2012.(4) Thirty-three percent of recent AAST presidents had military experience, versus 100% for the previous era.CONCLUSIONRecent conflicts led to intense civilian-military collaboration in CCC research and to the spread of ideas such as DCR from military to civilian care. However, long-term trends (eg, declining rates of military service nationally) place such collaboration at risk. Vigorous efforts to foster the vital civilian-military link in CCC are needed.