Objective: To compare the characters and outcomes of patients injured from traffic accidents in different rank hospitals. Methods: From 8 hospitals of ranks I III, 1?915 cases were sampled and divided into 4 groups. I...Objective: To compare the characters and outcomes of patients injured from traffic accidents in different rank hospitals. Methods: From 8 hospitals of ranks I III, 1?915 cases were sampled and divided into 4 groups. Injuries of all patients were accessed by the method of RTS, AIS ISS AP and ASCOT. Results: (1) The higher rank of hospitals, the severer the patients condition were. Mean ISSs in hospital ranks II and III were greater than 16, which were recommended as a standard of severe trauma. (2) Transportation of severe patients to high level hospitals prolonged the pre hospital duration by 5 9 h. (3) Factors contributing to death were the trauma severity, complications, hospital ranks that reflect the quality of the medical care. Conclusions: (1) This sample of 1?915 cases matches the condition of most Chinese hospitals in characteristics of traffic trauma patients. (2) Most Chinese hospitals can be divided into 3 degree of trauma center by a criteria of ISS and the unexpected death. (3) Incidence of multiple injuries shows no significant difference in each rank of hospitals. (4) The relationship between the hospital rank and the quality of trauma care is significant. We suggest that a RTS=11 or ISS=9 be triaged to trauma center, and a 10% Ps (survival probability) less than the average Ps of a hospital be triage to higher level hospitals.展开更多
文摘Objective: To compare the characters and outcomes of patients injured from traffic accidents in different rank hospitals. Methods: From 8 hospitals of ranks I III, 1?915 cases were sampled and divided into 4 groups. Injuries of all patients were accessed by the method of RTS, AIS ISS AP and ASCOT. Results: (1) The higher rank of hospitals, the severer the patients condition were. Mean ISSs in hospital ranks II and III were greater than 16, which were recommended as a standard of severe trauma. (2) Transportation of severe patients to high level hospitals prolonged the pre hospital duration by 5 9 h. (3) Factors contributing to death were the trauma severity, complications, hospital ranks that reflect the quality of the medical care. Conclusions: (1) This sample of 1?915 cases matches the condition of most Chinese hospitals in characteristics of traffic trauma patients. (2) Most Chinese hospitals can be divided into 3 degree of trauma center by a criteria of ISS and the unexpected death. (3) Incidence of multiple injuries shows no significant difference in each rank of hospitals. (4) The relationship between the hospital rank and the quality of trauma care is significant. We suggest that a RTS=11 or ISS=9 be triaged to trauma center, and a 10% Ps (survival probability) less than the average Ps of a hospital be triage to higher level hospitals.
