Abstract:
Objective To investigate the value of regional collaborative multi-hospital teamwork (MHT) in the treatment of patients with hemodynamically unstable pelvic fracture.
Methods A retrospective analysis was performed on 78 patients with hemodynamically unstable pelvic fractures treated by Jiaxing Regional Advanced Trauma Center from January 2018 to June 2021, including 40 patients treated by MHT mechanism as MHT group and 38 patients treated by multi-disciplinary teamwork (MDT) as MDT group. The general information, main injury mechanism, severity of trauma, main laboratory results, time nodes, hospitalization indicators and prognosis of the two groups were observed and compared.
Results There were no significant differences in gender, age, TI score and ISS score between two groups (P>0.05). Traffic accident was the main injury mechanism in both groups (42.5%vs60.5%), and the difference was not statistically significant (χ2=3.899, P>0.05). The proportion of patients who underwent surgery and operation treatment in both groups had no statistical significance (P>0.05). Compared with MDT group, MHT group had lower blood HGB (87.7±21.9 g/L vs 110.3±28.5 g/L), but Lac level (3.5±2.1 mmol/L vs 5.3±3.4 mmol/L) was also lower; the differences were statistically significant (P<0.05). There was no significant difference in BE and PT between the two groups (P>0.05). In MHT group, the time from admission to check-up was (19.5±7.7 min vs. 33.8±18.0 min), the time from decision to operation [25(18.3, 36.0)min vs 31(20.0, 41.3)min], and the stay time in the emergency room [45(31.3, 63.3)min vs 78(52.8, 92.5) min] were significantly shortened compared with MDT group, and the difference was statistically significant (P<0.05). There were no significant differences in length of hospital stay and ICU cost between the two groups, and the mortality rates were 15.0% and 15.8%, respectively, with no statistical significance (P>0.05).
Conclusion Regional collaborative MHT integrated treatment can improve the treatment level of patients with hemodynamically unstable pelvic fractures.
Key words:
Multi-hospital teamwork(MHT),
Multi-disciplinary team (MDT),
Hemodynamically unstable pelvic fracture
Yuan Suo, Shucong Yang, Jianchu Qian, Li Zhou, Huade Luo, Huijie Yu. Value of multi-hospital teamwork model in treatment of hemodynamically unstable pelvic fractures[J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2022, 08(02): 81-85.