tailieunhanh - Báo cáo y học: "Differences in trauma team activation criteria among Norwegian hospitals"

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: Differences in trauma team activation criteria among Norwegian hospitals | Larsen et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2010 18 21 SCANDINAVIAN JOURNAL OF Et emergency medicine ORIGINAL RESEARCH Open Access Differences in trauma team activation criteria among Norwegian hospitals Kristin T Larsen1 Oddvar Uleberg 2 and Eirik Skogvoll2 3 Abstract Background To ensure the rapid and correct triage of patients in potential need of specialized treatment Norwegian hospitals are expected to establish trauma teams with predefined criteria for their activation. The objective of this study was to map and describe the criteria currently in use. Methods We undertook a cross-sectional survey in the summer of 2008 using structured telephone interviews to all Norwegian hospitals that might admit severely injured patients. Results Forty-nine hospitals were included of which 48 98 had a trauma team and 20 had a hospital-based trauma registry. Criteria for trauma team activation were found at 46 94 hospitals. No single criterion was common to all hospitals. The median number of criteria per hospital was 23 range 8-40 with a total number of 156 and wide variation with respect to physiological cut-off values. The mechanism of injury was commonly in use despite a well-known large over-triage rate. Conclusions In recent years Norwegian hospitals have gradually established trauma teams and criteria for their activation. These criteria show considerable variation including physiological cut-off values. Background Traumatic injury is well recognized as one of the main challenges in modern health care 1 . Worldwide approximately million people die annually as a result of trauma and thousands more are temporarily and permanently disabled 1 . Based on the lessons of war civilian trauma systems have developed substantially within the last 50 years 2 . The first civilian trauma centers in the US established in San Francisco and Chicago in 1966 and the landmark paper Optimal hospital resources for care of the seriously injured .