tailieunhanh - Báo cáo y học: "Interfacility transfers in a non-trauma system setting: an assessment of the Greek reality"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Interfacility transfers in a non-trauma system setting: an assessment of the Greek reality | Katsaragakis et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medi- cine 2010 18 14 SCANDINAVIAN JOURNAL OF Et emergency medicine ORIGINAL RESEARCH Open Access Interfacility transfers in a non-trauma system setting an assessment of the Greek reality Stylianos Katsaragakis 1 Panagiotis G Drimousis 1 Eleftheria S Kleidi1 KostasToutouzas1 Eleftherios Lapidakis2 Georgios Papadakis3 Kritolaos Daskalakis4 Andreas Larentzakis1 Maria ETheodoraki5 and Dimitrios Theodorou1 Abstract Background Quality assessment of any trauma system involves the evaluation of the transferring patterns. This study aims to assess interfacility transfers in the absence of a formal trauma system setting and to estimate the benefits from implementing a more organized structure. Methods The Report of the Epidemiology and Management of Trauma in Greece is a one year project of trauma patient reporting throughout the country. It provided data concerning the patterns of interfacility transfers. We compared the transferred patient group to the non transferred patient group. Information reviewed included patient and injury characteristics need for an operation Intensive Care Unit ICU admittance and mortality. Analysis employed descriptive statistics and Chi-square test. Interfacility transfers were then assessed according to each health care facility s availability of five requirements Computed Tomography scanner ICU neurosurgeon orthopedic and vascular surgeon. Results Data on 8 524 patients were analyzed were treated at the same facility whereas were transferred. Transferred patients tended to be younger male and more severely injured than non transferred patients. Moreover they were admitted to ICU more often had a higher mortality rate but were less operated on compared to non transferred patients. The of transfers was from facilities with none of the five requirements whereas the was from those with one requirement. Low level facilities with up to three .