A standardized trauma care protocol decreased in-hospital mortality of patients with severe traumatic brain injury at a teaching hospital in a middle-income country
A standardized trauma care protocol decreased in-hospital mortality of patients with severe traumatic brain injury at a teaching hospital in a middle-income country
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DOI：
10.1016/j.injury.2014.04.037
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发表时间：
2014-09-01
影响因子：
2.5
通讯作者：
Rubiano, Andres M.
中科院分区：
文献类型：
--
作者：
Kesinger, Matthew R.;Nagy, Lisa R.;Rubiano, Andres M.
引言：标准化创伤方案（STP）在成熟的创伤系统中降低了发病率和院内死亡率。低收入和中等收入国家的大多数医院尚未实施STP，这通常是由于财政和后勤方面的限制。我们报告的影响STP设计的创伤患者的护理在急诊科（艾德）在LMIC医院对患者的严重创伤性脑损伤（STBI）。方法：我们开发了一个STP的基础上普遍接受的最佳实践和损害控制复苏的一级创伤中心在哥伦比亚。在没有预先存在的创伤登记的情况下，我们采用了一个管理电子数据库来捕获头部简略损伤评分（AIS）>3的TBI成人患者的临床信息，
Introduction: Standardized trauma protocols (STP) have reduced morbidity and in-hospital mortality in mature trauma systems. Most hospitals in low-and middle-income countries (LMICs) have not implemented STPs, often because of financial and logistic limitations. We report the impact of an STP designed for the care of trauma patients in the emergency department (ED) at an LMIC hospital on patients with severe traumatic brain injury (STBI).Methods: We developed an STP based on generally accepted best practices and damage control resuscitation for a level I trauma centre in Colombia. Without a pre-existing trauma registry, we adapted an administrative electronic database to capture clinical information of adult patients with TBI, a head abbreviated injury score (AIS) >3, and who presented