Application of optimize the entire pre-hospital emergency care in patients with traumatic brain injury in emergency
- VernacularTitle:院前急救全程优化护理在颅脑损伤患者急救中的应用
- Author:
Juping YAO
1
;
Qing MAO
Author Information
1. 杭州师范大学附属医院 杭州市第二人民医院急诊科
- Keywords:
Prehospital;
Whole optimization nursing;
Traumatic brain injury;
Emergency response time;
Prognosis
- From:
China Modern Doctor
2014;(25):76-79
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value of optimize the entire pre-hospital emergency care in patients with traumat-ic brain injury in emergency. Methods A total of 132 cases of traumatic brain injury patients were selected for the study, accorded to the time of admission, 62 patients treated from June to December in 2012 were selected as the con-trol group, 70 cases treated from January to July in 2013 were selected as the intervention group, the control group pre-hospital were cared by conventional implementation, while the intervention group to optimize the use of the entire pre-hospital emergency care. Results The intervention group with the pre-hospital emergency GCS and transferred to APS score had no significantly different (P>0.05), while the control group pre-hospital emergency and transferred to GCS and APS scores had significantly different (P<0.05). Transferred to the emergency room the intervention group with significantly higher GCS score, APS scores were significantly lower than the control group(P<0.05). During hospi-talization GOS evaluate prognosis groups had significant differences in the prognosis of the intervention group were sig-nificantly better than the control group (P<0.05). Emergency response time in the intervention group, emergency re-sponse time, hospitalization time were significantly less than the control group (P <0.05), mortality were significantly lower than the control group (P<0.05). Intervention group patients and their families in the evaluation of pre-hospital care were significantly higher (P<0.05). Conclusion The implementation of the full optimization of pre-hospital emer-gency care can effectively improve the efficiency of the treatment patients receive treatment to shorten the time and im-prove the quality of the rescue, to reduce mortality, shorter hospital stay, improved patient outcomes.
