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首页> 外文期刊>Southern Medical Journal >Impact of a formal trauma program on a small rural hospital in Mississippi.
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Impact of a formal trauma program on a small rural hospital in Mississippi.

机译：正式的创伤计划对密西西比州一家乡村医院的影响。

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BACKGROUND: Since Mississippi is largely rural, most of the initial care given to trauma patients is at small community hospitals. This study examined the impact of the institution of a formal trauma program on trauma care at such a hospital. METHODS: All trauma cases at a single institution during 1998 were retrospectively analyzed. Cases were stratified into two groups, which depended on whether trauma care was given before or after institution of the trauma program. Various parameters were evaluated and compared. RESULTS: The disposition of trauma cases changed after institution of a formal protocol: both transfers to trauma centers and hospital admissions decreased, while the number of cases cleared in the emergency department (ED) increased. The percentage of cases inappropriately managed also decreased. CONCLUSIONS: Institution of a formal trauma program increased the efficiency of resource utilization and improved the level of care received by trauma patients.
机译：背景：由于密西西比州大部分位于农村，因此，为创伤患者提供的大多数初始护理都在小型社区医院中。这项研究检查了正式的创伤计划对这种医院创伤护理的影响。方法：回顾性分析1998年期间同一机构的所有创伤病例。将病例分为两组，这取决于在实施创伤计划之前或之后是否进行创伤护理。评估并比较了各种参数。结果：正式签订协议后，创伤病例的处置发生了变化：转移到创伤中心和住院人数均减少了，而急诊科（ED）清除的病例数却有所增加。处理不当的案件比例也有所下降。结论：制定正式的创伤计划可以提高资源利用效率，并提高创伤患者获得的护理水平。

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