tailieunhanh - Báo cáo y học: "Inter-hospital transfer: the crux of the trauma system, a curse for trauma registries"

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: Inter-hospital transfer: the crux of the trauma system, a curse for trauma registries | Lossius et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2010 18 15 http content 18 1 15 SCANDINAVIAN JOURNAL OF Et emergency medicine COMMENTARY Open Access Inter-hospital transfer the crux of the trauma system a curse for trauma registries Hans Morten Lossius1 2 Thomas Kristiansen1 3 Kjetil G Ringdal1 3 Marius Rehn1 3 Abstract The inter-hospital transfer of patients is crucial to a well functioning trauma system and the transfer process may serve as a quality indicator for regional trauma care. However the assessment of the transfer process requires high-quality data from various sources. Prospective studies and studies based on single-centre trauma registries may fail to capture an appropriate width and depth of data. Thus the creation of inclusive regional and national trauma registries that receive information from all of the services within a trauma system is a prerequisite for high quality inter-hospital transfer studies in the future. Commentary In a recent article published in the Scandinavian Journal of Trauma Resuscitation and Emergency Medicine Professor Katsaragakis and colleagues depict patient flow through what they describe as a non-trauma-system setting in Greece 1 . Their study contributes to a growing body of inter-hospital transfer studies and provides an opportunity to comment on the complexity of analyzing trauma transfer. The development of a dedicated trauma system to deal effectively with severely injured patients was initiated in the early 1980 s with the American College of Surgeons ACS playing a leading role 2 . The trauma system as described by the ACS is a purposeful organisation of health care resources that ensures the optimal treatment of injured patients 3 . Inclusive trauma systems define roles for all levels and types of health care facilities and personnel that provide care for trauma patients from the scene of injury to rehabilitation. During the last decades of the 20th century several