Effectiveness of an Integrated Pre-Hospital and In-Hospital Treatment Model for Patients with Severe Trauma

ZHAO Junrui; GAO Shuxiu; MIAO Aiping; DONG Jiajia

doi:10.13919/j.issn.2095-6274.ZHJY202406031

Abstract：Objective To explore the therapeutic effect of adopting an integrated emergency plan for pa-tients with severe trauma.Methods A retrospective collection was conducted on 106 cases of severe trauma patients treated at the Affiliated Hospital of Binzhou Medical College from December 2021 to January 2024.Ac-cording to different treatment modes,they were divided into the observation group and the control group.The ob-servation group received integrated first aid pre and in the hospital,while the control group received routine first aid,with 53 cases in each group.We compared the treatment time,effectiveness,and severity of injuries between two groups of patients.Results The observation group had shorter emergency time and hospitalization time than the control group(both P＜0.001).The incidence of Multiple Organ Dysfunction Syndrome(MODS)(P=0.038),shock(P=0.034),and death(P=0.014)in the observation group patients was significantly lower than those in the control group patients.There was no significant difference in the Injury Severity Score(ISS)scores between the two groups of patients before emergency treatment(P＞0.05);After emergency treatment,the ISS scores of both groups of patients improved,and the ISS scores of the observation group were significantly lower than those of the con-trol group(P＜0.001).Conclusion The integrated pre hospital and in-hospital treatment model can significantly shorten the emergency time for severely injured patients,improve treatment effectiveness,and improve the severity of injuries,effectively enhancing treatment efficiency.