CIVILIAN GUNSHOT WOUNDS - OUTPATIENT MANAGEMENT

被引:49
作者
ORDOG, GJ
WASSERBERGER, J
BALASUBRAMANIUM, S
SHOEMAKER, W
机构
[1] MARTIN LUTHER KING CHARLES R DREW MED CTR,DEPT EMERGENCY MED & TRAUMA SERV,LOS ANGELES,CA 90059
[2] CHARLES R DREW UCLA UNIV SCI & MED,LOS ANGELES,CA
关键词
D O I
10.1097/00005373-199401000-00017
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Cost containment is important in this time of inner-city economic and health-care crisis. Of 28,150 patients treated for gunshot wounds (GSWs) from 1977 through 1991, 16,892 (60%) were treated as outpatients after emergency department evaluation and treatment. The complication rate was 1.8% (mostly infections), and nine patients were later found to have vascular injuries requiring surgical treatment. These were identified later at outpatient follow-up and treated with no long-term morbidity or mortality. A conservative estimate of the cost savings from this study was more than $37 million. With a more liberal use of angiography to eliminate rare missed vascular injuries, many GSW victims can be safely treated as outpatients, eliminating the need for expensive in-hospital observation.
引用
收藏
页码:106 / 111
页数:6
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