The association between seniority of Accident and Emergency doctor and outcome following trauma

被引：33

作者：

Wyatt, JP ^{[1
]}

Henry, J ^{[1
]}

Beard, D ^{[1
]}

机构：

[1] Royal Infirm, Dept Accid & Emergency, Edinburgh E113 9M, Midlothian, Scotland

来源：

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 1999年 / 30卷 / 03期

关键词：

D O I：

10.1016/S0020-1383(98)00252-6

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The actual survival of patients treated following trauma in four Scottish Teaching hospitals during five years was compared with predicted survival according to TRISS analysis, The data were analysed according to the seniority of the Accident and Emergency (A&E) doctor treating each patient. The group of patients treated by a consultant had a significantly better outcome (p < 0.05) than the group of patients treated by junior doctors. Analysis of outcome according to the grade of junior A&E doctor suggested a step-wise improvement in outcome with seniority, thus supporting the concept that an;improved outcome; associated with experience and seniority. These results support calls for A&E consultants to be increasingly involved in the management of patients with major trauma. Such increased involvement would require an increase in the number of A&E consultants. (C) 1999 Elsevier Science Ltd. All rights reserved.

引用

页码：165 / 168

页数：4

共 19 条

[11] Effectiveness of a regional trauma system in reducing mortality from major trauma: before and after study [J].

Nicholl, J ;

Turner, J .

BRITISH MEDICAL JOURNAL, 1997, 315 (7119) :1349-1354

[12] TRAUMA CENTERS AND THE EFFICIENT USE OF FINANCIAL RESOURCES [J].

OKELLY, TJ ;

WESTABY, S .

BRITISH JOURNAL OF SURGERY, 1990, 77 (10) :1142-1144

[13]

REDMOND AD, 1993, ANN ROY COLL SURG, V75, P317

[14]

*ROYAL COLL SURG E, 1988, MAN PAT MAJ INJ

[15] FOR DEBATE ... WHY DO OUR HOSPITALS NOT MAKE MORE USE OF THE CONCEPT OF A TRAUMA TEAM [J].

SPENCER, JD .

BRITISH MEDICAL JOURNAL, 1985, 290 (6462) :136-138

[16]

WARDROPE J, 1992, SURGERY DEC, P265

[17]

Wright J, 1998, BRIT MED J, V316, P1384

[18] Regional trauma systems [J].

Yates, D .

BRITISH MEDICAL JOURNAL, 1997, 315 (7119) :1321-1322

[19] PRELIMINARY-ANALYSIS OF THE CARE OF INJURED PATIENTS IN 33 BRITISH HOSPITALS - 1ST REPORT OF THE UNITED-KINGDOM MAJOR TRAUMA OUTCOME STUDY [J].

YATES, DW ;

WOODFORD, M ;

HOLLIS, S .

BRITISH MEDICAL JOURNAL, 1992, 305 (6856) :737-740

← 1 2 →