Trauma center model in general hospitals for patients with severe trauma: a multicenter study
10.3760/cma.j.cn115530-20200717-00472
- VernacularTitle:综合医院创伤中心模式治疗严重创伤患者疗效的多中心研究
- Author:
Zhe DU
1
;
Dingyuan DU
;
Guangbin HUANG
;
Feng XU
;
Longgang WANG
;
Hansong LIU
;
Hongkai LIAN
;
Juehua JING
;
Xingbo DANG
;
Gongliang DU
;
Wengang DONG
;
Tianbing WANG
;
Baoguo JIANG
Author Information
1. 北京大学人民医院创伤救治中心，创伤救治与神经再生教育部重点实验室 100044
- From:
Chinese Journal of Orthopaedic Trauma
2020;22(8):703-706
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the trauma center model in general hospitals for patients with severe trauma.Methods:The data of 1,248 patients with severe trauma (ISS≥16) were retrospectively analyzed who had been admitted to the trauma centers in 6 Chinese general hospitals from January 2019 through June 2020. They were 987 males and 261 females with an age of 50.4 years ± 15.4 years. Their injuries were caused by a traffic accident in 622 cases, falling from a height in 357 cases, a knife in 62 cases, and others (like a heavy object and fall) in 207 cases. Upon admission, their injury severity scores (ISS) were 24.9±8.5 and their Glasgow coma scores (GCS) 12.6±3.6. They were all treated in a scientific and standard manner by a multidisciplinary team at the trauma center of their specific general hospital. Recorded were deaths within 30 days after admission, 30-day mortality and causes of death.Results:All the patients were treated effectively. 101 deaths occurred within 30 days after admission, yielding a 30-day mortality of 8.1%. The main causes of death were severe craniocerebral injury in 56 cases, hemorrhagic shock in 26 cases, multi-organ failure in 11 cases and others in 8 cases.Conclusions:Establishment of trauma centers in China can make up for the disadvantage of over-division of clinical specialties in large general hospitals which has led to insufficient care for patients with severe trauma and multiple injuries. The trauma centers in general hospitals may be a feasible model to be popularized in treatment of patients with severe trauma and multiple injuries.
