دورية أكاديمية
Preventable deaths in hospitalized trauma patients.
| العنوان: | Preventable deaths in hospitalized trauma patients. |
|---|---|
| المؤلفون: | Alao DO; Department of Internal Medicine, College of Medicine and Health Sciences, UAE University, Al Ain, United Arab Emirates.; Emergency Department, Tawam Hospital, Al Ain, United Arab Emirates., Cevik AA; Department of Internal Medicine, College of Medicine and Health Sciences, UAE University, Al Ain, United Arab Emirates.; Emergency Department, Tawam Hospital, Al Ain, United Arab Emirates., Al Shamsi F; Department of Internal Medicine, College of Medicine and Health Sciences, UAE University, Al Ain, United Arab Emirates.; Critical Care Department, Tawam Hospital, Al Ain, United Arab Emirates., Mousa H; Department of Surgery, College of Medicine and Health Sciences, UAE University, Al Ain, United Arab Emirates.; Surgery Department, Tawam Hospital, Al Ain, United Arab Emirates., Elnikety S; Department of Surgery, College of Medicine and Health Sciences, UAE University, Al Ain, United Arab Emirates.; Surgery Department, Tawam Hospital, Al Ain, United Arab Emirates., Benour M; Neurosurgery Department, Tawam Hospital, Al Ain, United Arab Emirates., Al-Bluwi GSM; Department of Internal Medicine, College of Medicine and Health Sciences, UAE University, Al Ain, United Arab Emirates., Abu-Zidan FM; The Research Office, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates. |
| المصدر: | World journal of surgery [World J Surg] 2024 Apr; Vol. 48 (4), pp. 863-870. Date of Electronic Publication: 2024 Feb 21. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley Country of Publication: United States NLM ID: 7704052 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-2323 (Electronic) Linking ISSN: 03642313 NLM ISO Abbreviation: World J Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2024- : [Hoboken, NJ] : Wiley Original Publication: New York, Springer International. |
| مواضيع طبية MeSH: | Heart Failure* , Wounds and Injuries*/therapy, Male ; Humans ; Middle Aged ; Aged ; Female ; Hemorrhage ; Emergency Service, Hospital ; Hospitals ; Hospitalization ; Cause of Death ; Trauma Centers ; Retrospective Studies |
| مستخلص: | Aim: To study the preventable trauma deaths of hospitalized patients in the United Arab Emirates and to identify opportunities for improvement. Methods: We analyzed the Abu Dhabi Emirate Trauma Registry data of admitted patients who died in the emergency department or in hospital from 2014 to 2019. A panel of experts categorize the deaths into not preventable (NP), potentially preventable (PP), and definitely preventable (DP). Results: A total of 405 deaths were included, and 82.7% were males. The majority (89.1%) were NP, occurring mainly in the emergency department (40.4%) and the intensive care unit (49.9%). The combined potentially preventable and preventable death rate was 10.9%. The median (Interquartile range) age of the DP was 57.5 (37-76) years, compared with 32 (24-42) and 34 (25-55) years for NP and PP, respectively (p = 0.008). Most of the PP deaths occurred in the intensive care unit (55.6%), while the DP occurred mainly in the ward (50%). Falls accounted for 25% of PP and DP. Deficiencies in airway care, hemorrhage control, and fluid management were identified in 25%, 43.2% and 29.5% of the DP/PP deaths, respectively. Seventy-two percent of the Airway deficiencies occurred in the prehospital, while 34.1% of hemorrhage control deficiencies were in the emergency department. Fluid management deficiencies occurred in the emergency department and the operation theater. Conclusions: DP and PP deaths comprised 10.9% of the deaths. Most of the DP occurred in the emergency department and ward. Prehospital Airway and in-hospital hemorrhage and excessive fluid were the main areas for opportunities for improvement. (© 2024 International Society of Surgery/Société Internationale de Chirurgie (ISS/SIC).) |
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| فهرسة مساهمة: | Keywords: opportunities for improvement; preventability; trauma deaths |
| تواريخ الأحداث: | Date Created: 20240221 Date Completed: 20240408 Latest Revision: 20240612 |
| رمز التحديث: | 20240612 |
| DOI: | 10.1002/wjs.12109 |
| PMID: | 38381056 |
| قاعدة البيانات: | MEDLINE |
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