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| Hospital and community integration treatment of severe multiple injuries |
| Zhou Tao, Li Shu-yan, Ruan Yu-ying, Qin Bi-yun |
| Department of Emergency, Liuzhou City Liuzhou Railway Central Hospital, Liuzhou 545007, China |
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Abstract Objective To observe the effect of hospital-community integration in the treatment of severe multiple injuries. Methods The retrospective study included 83 patients with severe multiple injuries(inclusion criteria ①ISS≥16; ②except minors, pregnant women; patients with chronic diseases) , who have be treated in the area under the jurisdiction of the community health service center of Liuzhou Railway Central Hospital. 49 cases of patients who have been helped through the hospital - community linkage treatment by the way of assignment by “120” or directly connecting to the community health service center were sent to A group; 34 cases who have been directly helped through the “120” instruction were sent to B group. The two groups were observed in the emergency response time, emergency handling time, emergency emergency fluid volume, mortality rate, effective treatment time, blood transfusion, SICU hospitalization time, complication rate, total mortality, long-term(6 months) and long-term morbidity, the incidence of mental disorders and the patients satisfaction index, comprehensive evaluation of hospital-community integration trauma treatment effect. Results The difference between the two groups was statistically significant in the emergency response time, emergency handling time, emergency emergency fluid volume, mortality rate, effective treatment time, blood transfusion, SICU hospitalization time, complication rate, total mortality, long-term(6 months) and long-term morbidity, the incidence of mental disorders and the patient satisfaction index. Conclusion Hospital-community integration treatment is conducive to shorten the emergency response time, improve the treatment of timeliness, reduce the length of hospital stay of ICU, reduce mortality, and improve the long-term prognosis.
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Received: 06 October 2016
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