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首页> 外文期刊>The East African medical journal >Initial injury care in Nairobi, Kenya: a call for trauma care regionalisation.
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Initial injury care in Nairobi, Kenya: a call for trauma care regionalisation.

机译：肯尼亚内罗毕的初步伤害护理：呼吁对伤害护理进行区域化。

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OBJECTIVE: To describe the emergency care of injuries at a main city hospital. DESIGN: A prospective study. SETTING: Data were collected between February 1st, 1999 and 30th April, 1999 from the records of the 2000 bed Kenyatta National Hospital (KNH) in Nairobi, Kenya. SUBJECTS: Two hundred and forty injury patients admitted at KNH were analysed. METHODS: All patients were analysed for demographics, environment of injury hospital arrival and Emergency Department times. The effects of injury severity, place of injury and time of day on these time intervals were analysed statistically. RESULTS: Road injury admissions formed 31% of all injury admissions. The mean age was 30 years. Males comprised 84.6% of all patients. The proportions of patients under 20 years of age was 20% with a peak age of 20-29 years. Majority (43.3%) of the injured resided in deprived neighbourhood of East Nairobi. The mean pre-hospital time was 2.56 hours. The Emergency Department disposition time was 3.36 hours. Injuries of all severities, as determined by the Injury Severity Score (ISS), were treated. The pace of care did not match severity of the injuries. Only 17.5% reached their areas of definitive care within sixty minutes. CONCLUSION: Injuries following road traffic accidents (RTAs) are common in Nairobi. The response to injury is slow and haphazard. The insitution of a care incorporating the city's health centers and pre-hospital triage may optimise care.
机译：目的：描述一家主要城市医院的伤员急救护理。设计：一项前瞻性研究。地点：数据收集于1999年2月1日至1999年4月30日之间，该记录来自肯尼亚内罗毕拥有2000张床的肯尼亚肯塔国家医院（KNH）。研究对象：分析了KNH收治的240例受伤患者。方法：对所有患者进行人口统计学，受伤医院到达环境和急诊科时间的分析。对这些时间间隔的损伤严重程度，损伤部位和一天中的时间的影响进行统计分析。结果：道路伤害事故占所有伤害事故的31％。平均年龄为30岁。男性占所有患者的84.6％。 20岁以下患者的比例为20％，峰值年龄为20-29岁。绝大多数（43.3％）受伤者居住在东内罗毕被剥夺的社区。院前平均时间为2.56小时。急诊科的处置时间为3.36小时。根据损伤严重性评分（ISS）确定的所有严重性损伤均得到治疗。护理的速度与受伤的严重程度不符。在60分钟内，只有17.5％的人到达了他们的最终护理区。结论：道路交通事故（RTA）造成的伤害在内罗毕很常见。对伤害的反应缓慢而偶然。结合城市卫生中心和院前分诊的护理可以优化护理。

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