Pre-hospital emergency treatment and prognosis analysis of patients with severe brain injury accidents: a report of 1107 cases
10.3760/cma.j.issn.1671-8925.2011.03.015
- VernacularTitle:交通事故性重型颅脑损伤院前急救与预后关联分析(附1107例报告)
- Author:
Ming-Jun HU
1
;
Ru-Xiang XU
;
Xiao-Dan JIANG
;
Ying-Qian CAI
;
Cheng-Yi LUO
;
Guo-Zhong SONG
;
Xue-Wen WANG
;
Gang WANG
;
Jian CUI
;
Jun HANG
;
Da-Ping WEN
Author Information
1. 西安市第一医院
- Keywords:
Brain injury;
Traffic accident;
Pre-hospital emergency treatment;
Prognosis
- From:
Chinese Journal of Neuromedicine
2011;10(3):276-279
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the importance of pre-hospital emergency treatment in patients with severe head injury in traffic accidents in terms of time and explore the general rule of severe head injury in traffic accidents to provide some evidence for relevant authority making the prevention and control measures of acute traumatic brain injury. Methods The patients were selected according to "statistical table of severe head injury in a traffic accident" established by our department; their correlated data were statistically analyzed. Based on the time intervals between receiving telephone time asking for first-aid and arriving to location of incidence, and time intervals between time of giving first-aid and injured time, the regularity of prognosis was analyzed.Results With the prolonged time intervals between time of giving first-aid and injured time, the mortality and disability rates gradually increased,followed by poor prognosis, which indicated that the prognosis was negatively correlated to the delayed time on the way and the on-site rescue time (rs=-0.10,P=0.002; rs=-0.06,P=0.034). Conclusion Prevention and control center for acute brain injury should be built and the roles for pre-hospital emergency treatment and transportation should be established to decrease the injured time (the delayed time on the way and the on-site rescue time) to improve the quality of care, and to reduce the death and disability in patients with severe head injury in traffic accidents.
