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首页> 外文期刊>Journal of nursing scholarship: an official publication of Sigma Theta Tau International Honor Society of Nursing >Differences in survival, length of stay, and discharge disposition of older trauma patients admitted to trauma centers and nontrauma center hospitals.
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Differences in survival, length of stay, and discharge disposition of older trauma patients admitted to trauma centers and nontrauma center hospitals.

机译：较老创伤患者的存活率，住院时间长度和放电配置均达到创伤中心和非鲁木中心医院的差异。

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PURPOSE: To examine the relationship of level of care (trauma center [TC], nontrauma center [NTC] hospitals) on three outcomes: survival, length of stay, and discharge disposition. DESIGN: Retrospective secondary analysis of a subset of data (1,418 patients age 65 to 99 years) from a large statewide study in which the purpose was to compare admission patterns (TCs and NTCs) of motor vehicle (MV) trauma patients according to age and sex. The New Jersey UB-92 Patient Discharge Data for 2000 were used in this analysis. METHODS: Demographic and clinical variables were compared using descriptive data, independent samples t tests, Pearson chi square, and Mann-Whitney U analyses. Logistic regression and multiple regression analyses were performed to examine relationships between level of care and three outcome variables, survival, length of stay, and discharge disposition, while controlling for age and severity of injury. RESULTS: NTC admission was the only predictor of survival and discharge to home, but injury severity was the strongest predictor of length of stay, followed by NTC care. The odds of survival and discharge home decreased slightly as age and injury severity increased. CONCLUSIONS: This analysis indicated preliminary evidence that level of care influences survival, length of stay, and discharge disposition. Studies are warranted for researchers to examine the influence of postinjury variables, including complications, stress reaction, and depression on outcomes.
机译：目的：检查护理水平（创伤中心[TC]，Nontrauma Center [NTC]医院）的关系：存活，住院时间和排放性处置。设计：从大型全州立三种研究中的数据子集（1,418名患者65岁至99岁）的回顾性次要分析，其中目的是根据年龄和性别。在此分析中使用了2000年的新泽西UB-92患者放电数据。方法：使用描述性数据，独立样本T检验，Pearson Chi广场和Mann-Whitney分析进行比较人口统计和临床变量。进行逻辑回归和多元回归分析，以检查护理水平和三种结果变量之间的关系，生存，住院时间和放电处理，同时控制伤害的年龄和严重程度。结果：NTC入学是唯一的存活率和排放到家的预测因子，但伤害严重程度是最强的预测因素，但仍然是NTC护理。随着年龄和损伤严重程度增加，生存和排放房屋的几率略有下降。结论：该分析表明了初步证据，即护理水平影响生存，留守长度和排放处理。有必要研究研究人员来检查Postinjury变量的影响，包括并发症，压力反应和结果抑郁症。

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