Trauma & acute care最新文献

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Death in the Same Compartment as a Predictor for Injury Severity 同一隔间内死亡可作为损伤严重程度的预测因子

Trauma & acute care

Pub Date : 2020-01-01 DOI: 10.36648/2476-2105.5.1.79

Serio F, F. Q, Shah K, McCague A

Objective: To determine if death in same compartment is useful as a predictor for injury severity and mortality. Methods: A retrospective cross-sectional study was conducted of 525 high-risk automobile accident victims. Data collected from Natividad Medical Center's trauma registry were used to analyze reports of adult patients from July 1 2014 to July 1 2017. 15 patients were victims of highrisk accidents with a death in the same compartment. These patients were compared with the other 510 patients. Results: Out of 15 patients who had death in same compartment, 2 (13%) were identified to have ISS>15 and 1 (6.7%) expired. Odds of severe injury (ISS>15) were not significantly different between groups [OR 0.73 95% CI 0.16-3.3]. Odds of death between the two groups were not significantly different [OR 2.0 95% CI 0.25-17]. Mean ISS between the two groups was not significant [9.1 ± 6.3 vs 8.3 ± 0.7 P=0.8]. Conclusion: "Death in the same compartment" has a similar prognostic value to other criteria outlined by the CDC.

目的:确定同一间室的死亡是否可作为损伤严重程度和死亡率的预测因子。方法:对525例交通事故高危受害者进行回顾性横断面研究。从Natividad医疗中心的创伤登记处收集的数据用于分析2014年7月1日至2017年7月1日的成人患者报告。15名患者是同一车厢内死亡的高风险事故的受害者。这些患者与其他510例患者进行比较。结果:在同一间室死亡的15例患者中，2例(13%)被确定为ISS bbb15, 1例(6.7%)死亡。两组间严重损伤的发生率(ISS bbb15)无显著差异[OR 0.73 95% CI 0.16-3.3]。两组患者的死亡几率无显著差异[OR 2.0 95% CI 0.25-17]。两组间平均ISS差异无统计学意义[9.1±6.3 vs 8.3±0.7 P=0.8]。结论:“同一隔室死亡”与CDC概述的其他标准具有相似的预后价值。

引用次数: 0

Implementation of an Interactive Tablet-based Educational Intervention in the Neurotrauma Clinic: A 1-year Retrospective Analysis. 在神经创伤诊所实施基于互动平板电脑的教育干预：为期一年的回顾性分析。

Trauma & acute care

Pub Date : 2017-01-01 Epub Date: 2017-02-10

Melissa Huang, Ronald Sahyouni, Amin Mahmoodi, Diem Kieu Tran, Jefferson W Chen

Background: Traumatic Brain Injury (TBI) is a devastating and widely prevalent cause of death and disability in the United States. Educational interventions integrated into neurosurgical neurotrauma clinics can facilitate patient education and optimize the clinical encounter. Interactive educational modalities may enhance knowledge acquisition and patient satisfaction, however, no description of implementing such a program has been presented in the literature. The implementation of an interactive iBook-based educational intervention in an outpatient neurotrauma clinic is discussed.

Methods: Concussion and TBI iBooks and surveys were created. Then, a retrospective chart review and data analysis of 202 consecutive patients and family members presenting to the neurotrauma clinic was conducted. The participants completed a presurvey, reviewed an interactive iBook, and then completed a post-survey to test interim knowledge improvement.

Results: We discuss the process and problems encountered when creating the iBooks and implementing them in a clinical setting. Between August 1, 2015 and August 1, 2016, 93 patients (46%) and 109 (54%) family members participated in the study, for a total of 202 participants. 104 subjects reviewed a concussion iBook, and 98 subjects reviewed a TBI iBook, depending on their medical condition. Significant improvements in self-reported knowledge measures were demonstrated. Participants ranged in age from 10 to 90 years, with a mean of 45 years. The male to female ratio was 1.104:1.

Conclusions: Interactive iBooks were readily implemented into a neurotrauma clinic. Improvements in self-reported knowledge measures and strong preference for the interactive iBook were attributed to the efficacy of the educational intervention. Examples of how interactive iBooks may be a useful adjunct in the education of head injury patients and their families in the neurotrauma setting are presented.

背景：在美国，创伤性脑损伤（TBI）是造成死亡和残疾的一个破坏性且普遍存在的原因。将教育干预纳入神经外科神经创伤诊所可促进患者教育并优化临床治疗。交互式教育模式可提高知识获取率和患者满意度，但文献中尚未介绍此类计划的实施情况。本文讨论了在神经创伤门诊实施基于 iBook 的互动教育干预的情况：方法：制作脑震荡和创伤性脑损伤 iBooks 和调查问卷。然后，对连续到神经创伤门诊就诊的 202 名患者和家属进行了回顾性病历审查和数据分析。参与者在完成事前调查、阅读互动式 iBook 后，再完成事后调查，以检验知识的中期改进情况：我们讨论了制作 iBooks 并在临床环境中实施的过程和遇到的问题。2015年8月1日至2016年8月1日期间，93名患者（46%）和109名家属（54%）参与了研究，共计202人。根据病情，104 名受试者阅读了脑震荡 iBook，98 名受试者阅读了创伤性脑损伤 iBook。研究结果表明，受试者自我报告的知识水平有了显著提高。参与者的年龄从 10 岁到 90 岁不等，平均年龄为 45 岁。男女比例为 1.104:1：交互式 iBooks 很容易在神经创伤诊所中使用。自我报告的知识测量结果的改善以及对互动式 iBook 的强烈偏好归功于教育干预的有效性。本报告举例说明了在神经创伤环境中，交互式 iBook 如何成为头部受伤患者及其家属教育的有用辅助工具。

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