National variation in guidance for the management of pregnant women presenting with major trauma.

IF 1.1 4区 医学 Q3 SURGERY Annals of the Royal College of Surgeons of England Pub Date : 2024-07-01 Epub Date: 2024-04-02 DOI:10.1308/rcsann.2024.0011
C Demetriou, W Eardley, M-C Rebeiz, C B Hing
{"title":"National variation in guidance for the management of pregnant women presenting with major trauma.","authors":"C Demetriou, W Eardley, M-C Rebeiz, C B Hing","doi":"10.1308/rcsann.2024.0011","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>The initial assessment of pregnant women presenting with significant injuries is more complicated than that of non-pregnant women because of physiological and anatomical changes, and the presence of the fetus. The aim of this study was to determine whether guidelines for the early management of severely injured pregnant women exist, which aspects of assessment/management they cover and to what extent there is national consistency.</p><p><strong>Methods: </strong>A freedom of information request was submitted to 125 acute National Health Service trusts in England and six in Wales. The trusts were asked to confirm whether they have a guideline for the management of major trauma in pregnant women presenting to the emergency department and what the guidelines were.</p><p><strong>Results: </strong>In total, 96.2% of trusts responded, of which 19% have a specific guideline and 7.9% have a generic guideline for assessing pregnant women in the emergency department, irrespective of injury severity. Of the responding trusts, 19.8% have a protocol that specifies when an obstetric trauma call should be put out by the emergency department and when a pregnant woman should be transferred to a major trauma centre for definitive management. Our results found that 69.8% routinely call obstetrics or gynaecology to the trauma call compared with 36.5% calling paediatrics.</p><p><strong>Conclusions: </strong>The heterogeneity evident across trusts necessitates the establishment of national guidelines for the assessment of pregnant women with major trauma to standardise communication and delivery of care.</p>","PeriodicalId":8088,"journal":{"name":"Annals of the Royal College of Surgeons of England","volume":" ","pages":"528-533"},"PeriodicalIF":1.1000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11214853/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of the Royal College of Surgeons of England","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1308/rcsann.2024.0011","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/4/2 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction: The initial assessment of pregnant women presenting with significant injuries is more complicated than that of non-pregnant women because of physiological and anatomical changes, and the presence of the fetus. The aim of this study was to determine whether guidelines for the early management of severely injured pregnant women exist, which aspects of assessment/management they cover and to what extent there is national consistency.

Methods: A freedom of information request was submitted to 125 acute National Health Service trusts in England and six in Wales. The trusts were asked to confirm whether they have a guideline for the management of major trauma in pregnant women presenting to the emergency department and what the guidelines were.

Results: In total, 96.2% of trusts responded, of which 19% have a specific guideline and 7.9% have a generic guideline for assessing pregnant women in the emergency department, irrespective of injury severity. Of the responding trusts, 19.8% have a protocol that specifies when an obstetric trauma call should be put out by the emergency department and when a pregnant woman should be transferred to a major trauma centre for definitive management. Our results found that 69.8% routinely call obstetrics or gynaecology to the trauma call compared with 36.5% calling paediatrics.

Conclusions: The heterogeneity evident across trusts necessitates the establishment of national guidelines for the assessment of pregnant women with major trauma to standardise communication and delivery of care.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
各国在处理重大创伤孕妇的指导方面存在差异。
导言:由于生理和解剖结构的变化以及胎儿的存在,对严重受伤孕妇的初步评估比非孕妇更为复杂。本研究旨在确定是否存在严重受伤孕妇的早期管理指南,这些指南涵盖了评估/管理的哪些方面,以及全国的一致性程度如何:我们向英格兰的 125 家急症国民健康服务托管机构和威尔士的 6 家托管机构提出了信息自由申请。方法:我们向英格兰的 125 家急诊国民医疗服务机构和威尔士的 6 家急诊国民医疗服务机构提交了一份信息自由申请,要求它们确认是否制定了急诊科孕妇重大创伤管理指南以及指南的内容:共有 96.2% 的医疗机构做出了回复,其中 19% 的医疗机构制定了专门的指南,7.9% 的医疗机构制定了通用指南,用于在急诊科对孕妇进行评估,无论其受伤严重程度如何。在作出回复的医疗机构中,19.8% 的医疗机构制定了一项协议,规定急诊科何时应发出产科创伤呼叫,何时应将孕妇转至主要创伤中心进行最终治疗。我们的研究结果发现,69.8%的创伤呼叫通常会呼叫产科或妇科,而呼叫儿科的比例为 36.5%:结论:各医疗机构之间存在明显的差异,因此有必要制定全国性指南,用于评估遭受重大创伤的孕妇,以规范沟通和护理工作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
2.40
自引率
0.00%
发文量
316
期刊介绍: The Annals of The Royal College of Surgeons of England is the official scholarly research journal of the Royal College of Surgeons and is published eight times a year in January, February, March, April, May, July, September and November. The main aim of the journal is to publish high-quality, peer-reviewed papers that relate to all branches of surgery. The Annals also includes letters and comments, a regular technical section, controversial topics, CORESS feedback and book reviews. The editorial board is composed of experts from all the surgical specialties.
期刊最新文献
A novel adaption to suction-assisted seroma aspiration. Changes in hip and knee arthroplasty practice post-COVID-19 in the English NHS: a retrospective analysis of hospital episode statistics data. Frailty and body composition predict adverse outcomes after emergency general surgery admission: a multicentre observational cohort study. The risk of revision surgery after trainee-led primary total hip replacement. A case report and systematic review of periorbital emphysema following nose blowing or sneezing.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1