Vrjednovanje kirurške skrbi o politraumatiziranim bolesnicima s vodećom traumom abdomena metodama PATI i TRISS
| Autor: | Željko Martinović |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2007 |
| Předmět: |
Trauma severity indices
Injury severity score (ISS) Abdominal injuries - classification Revised trauma score (RTS) Trauma and injury severity score (TRISS) Penetrating abdominal trauma index (PATI) Survival Health care quality access and evaluation Major trauma outcome study (MTOS) Indeksi težine traume Ljestvica težine ozljede (ISS) Abdominalne ozljede - klasifikacija Revidirani trauma skor (RTS) Trauma skor i skor težine ozljede (TRISS) Indeks penetrantnih abdominalnih ozljeda (PATI) Preživljavanje Kvaliteta zdravstvene skrbi pristup i procjena Studija o ishodu većih trauma (MTOS) |
| Zdroj: | Medicinski vjesnik Volume 39 Issue (1-4) |
| ISSN: | 0350-6487 |
| Popis: | Uvod: U radu je predočena vrsnoća traumatološke skrbi vrjednovana metodama TRISS i PATI u odnosu na standarde ishoda u MTOS-u (Major Trauma Outcome Study). Bolesnici i metode: U deskriptivno-retrospektivnu studiju uključeni su politraumatizirani bolesnici s vodećom ozljedom abdomena zaprimljeni u hitnom prijatnu kirurškoga odjela Opće bolnice u Novoj Bili u razdoblju od 1. siječnja 2006. do 31. prosinca 2007. godine. Analizirano je preživljavanje operiranih bolesnika metodom TRISS i W, M i Z statistikom u svrhu usporedbe sa standardima MTOS-a, rizik razvoja poslijeoperativnih komplikacija metodom PATI. Rezultati: Većina bolesnika bili su muškarci (91,7 %) prosječne starosne dobi od 39,6 godina. Trećina bolesnika (33,3 %) ozljede su zadobili u prometnim nezgodama. Očekivano preživljavanje bilo je 86,4 %, dok je stvarno preživljavanje bilo 86,1 %. W vrijednost iznosila je - 0,268, M vrijednost 0,822 i Z vrijednost 0,074 (p < 0,05). Indeks penetrantnih abdominalnih ozljeda bio je 17,6 22,5. Zaključak: Z vrijednost 0,074 kazuje da nema statistički značajne razlike između očekivanoga i stvarnoga preživljavanja. Izvedba kirurške skrbi u bolnici odgovara standardima MTOS-a. Introduction: This study presents the quality of trauma care evaluated by TRISS and PATI methods in relation to the standards of outcomes in MTOS (The Major Trauma Outcome Study). Patients and Methods: Descriptive- retrospective analysis includes polytraumatized patients with a major abdomen injury who were hospitalized in the emergency room of the Department of Surgery in the General Hospital in Nova Bila in the period from 1 January, 2006 to 31 December, 2007. The survival of surgically treated patients was analyzed using TRISS method and W, M and Z statistics with the purpose of comparison with MTOS standards, and the risk of development of postoperative complications was analyzed using PATI method. Results: Most of the patients were men (91,7%) with an average age of 39,6. One third of patients (33,3%) were injured in traffic accidents. Predicted survival was 86,4%, while the actual survival was 86,1%. W equals -0,268, M equals 0,822 and Z equals 0,074 (p< 0,05). Penetrating abdominal trauma index (PATI) was 17,6 22,5. Conclusion: Z statistics 0,074 indicate that there is no statistically considerable difference between the real and predicted survival. Surgical care in hospital suits MTOS standards. |
| Databáze: | OpenAIRE |
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