查詢結果分析
來源資料
頁籤選單縮合
| 題 名 | Trauma Outcome Analysis by a Medical Center Using the TRISS Method=創傷處置結果之評估與分析--臺灣南部醫學中心報告 |
|---|---|
| 作 者 | 吳明和; 蔡明哲; 張財旺; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 25:6 民81.11-12 |
| 頁 次 | 頁1418-1424 |
| 分類號 | 416.14 |
| 關鍵詞 | 創傷處置; |
| 語 文 | 英文(English) |
| 中文摘要 | 本研究係針對國立成功大學附設醫院急診部於民國77年6月至80年12月間所經歷1455名創傷病患所做的調查。我們使用TRISS方法,乃就創傷病人受傷時的生理創傷指數(RTS),解剖學上嚴重度指數(ISS)與病人的年齡、受傷機轉、來評估各別病人之 創傷預估存活率。以TRISS方法分析的結果顯示本研究之Z值與M值分別為-0.09及0.94。根據我們的資料看出,男性病患佔了創傷人數達四分之三以上,受傷後24小時內死亡病人占總死亡人數的百分之六十四左右。這說明吾人若欲降低創傷死亡率,則必需強調受傷初期病人能接受到良好的醫療照護品質的重要性。我們亦認為使用一TRISS方法求出預估創傷病人存活率,配合以實際臨床上處置結果之比較,可有效地達到對創傷後整體醫療照護品質的監控。此研究是國人第一次有系統地評估分析本土化的創傷結果。以供日後階段性緊急醫療照護品質保障的參考,更可作為院際之間對於創傷處置結果能力之評鑑上的基本參考憑據。 |
| 英文摘要 | The 1,455 trauma admissions to the Emergency Department, National Cheng Kung University Hospital from June 1988 to December 1991 were reviewed. Trauma Score-Injury Severity Score (TRISS) methodology trauma care analysis which combines both physiologic and anatomic assessment with patient age and type of injury to quantify the probability of survival was used, with standards reported in the Major Trauma Outcome Study (MTOS). The Z and M statistics were-0.09 and 0.94 respectively. This data reaffirms that trauma is a disease primarily affecting males who represented nearly three-fourths of this hospital trauma patients. A majority (64.42%) of the 93 deaths occurred within 24 hours of injury. This suggests the importance of early injury intervention if substantial reduction of mortality is to be achieved. Development of the TRISS methodology has been a major advance for measurement of trauma performance; it has consistency and gives reasonable prediction of patient survival outcome, to further quality assurance of trauma care. This study is a first step to build up this center's trauma outcome database, not only for intra-hospital, but permit inter-hospital comparison. |
本系統中英文摘要資訊取自各篇刊載內容。