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作 者:郭振霞[1] 王世垚 刘亚涛[1,3] 韩兴文[2] 王文己[1] 褚沛[1,4] 刘永伟 李想 Michael Nerlich 王文进[4] 刘丽平[6] Zhenxia Guo;Shiyao Wang;Yatao Liu;Xingwen Han;Wenji Wang;Pei Chu;Yongwei Liu;Xiang Li;Michael Nerlich;Wenjin Wang;Liping Liu(Trauma Center,First Hospital of Lanzhou University,Lanzhou 730000,China;Department of Trauma,First Hospital of Lanzhou University,Lanzhou 730000,China;Department of Anesthesiology and Operation,First Hospital of Lanzhou University;Department of Emergency,First Hospital of Lanzhou University,Lanzhou 730000,China;Trauma Orthopedics,University Hospital Regensburg,Munich 80333,Gemany;Emergency Intensive Care Unit,First Hospital of Lanzhou University,Lanzhou 730000,China)
机构地区:[1]兰州大学第一医院创伤中心,730000 [2]兰州大学第一医院创伤外科,730000 [3]兰州大学第一医院麻醉手术科,730000 [4]兰州大学第一医院急诊科,730000 [5]德国雷根斯堡大学医院创伤外科、骨科和运动医学中心,80333 [6]兰州大学第一医院急诊危重症科,730000
出 处:《中华创伤杂志》2022年第4期374-379,共6页Chinese Journal of Trauma
基 金:科学技术部高端外国专家项目(G2019028023, G2020028007);甘肃省高等学校创新基金项目(2021B-004);兰州大学第一医院院内项目(ldyyyn2019-07)。
摘 要:创伤登记是收集并记录创伤患者救治过程及时间节点的重要工具, 创伤数据库的运行对降低患者病死率、促进创伤救治体系建设、制定政策提供参考依据有重要意义。美国、英国、德国等发达国家已建立创伤登记系统并成熟运行。国内创伤登记系统处于起步阶段, 尚存在数据缺失、数据不连贯、并发症不填写、忽视出院后治疗数据、人力财力限制等问题。在人员固定、资金支持、数据持续监测等方面还有很大的提升空间。笔者就国内外创伤登记系统、数据分析与临床价值、运行机制及面临的挑战等方面进行综述, 强调创伤登记系统对创伤救治工作的重要性, 以提升院前、院内救治效率, 为临床科研提供重要数据支撑。Trauma registration is an important tool to record the process and timeline in the treatment of trauma patients.The operation of trauma database is of great significance for reducing the mortality of patients,promoting the construction of trauma treatment system,and providing reference for policy-making.Trauma registration system has been established in the United States,United Kingdom,Germany and other developed countries for many years.However,the domestic system is still at an initial stage,and there are problems like data deficiencies,data incoherence,no item of complications,no treatment data after discharge and limits of human and financial resources.Therefore,there is room for improvements in terms of personnel fixation,financial support and continuous data monitoring should be further improved.In this study,the authors summarize the traum registration system from aspects of basic situation both at home and abroad,data analysis,clinical value,operation mechanism and challenges so as to provide important data for clinical researches.
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