Abstract：Objective To investigate the role of optimized process of the trauma information management system in treatment of mass trauma. Methods Eighty-nine cases injured from the 16th mass traffic events documented in the trauma database system in People' s Hospital of Pudong New Area between January 2011 and December 2011 were defined as the informationalized treatment group (study group),while additional 78 cases injured from the 14th mass traffic events between January 2010 and December 2010 prior to the utilization of trauma database system were used as the conventional treatment group (control group).Statistical parameters were studied retrospectively,including general clinical data (age,gender,trauma sites,ISS score,treatment and outcome,etc),emergency reaction time (the time used for emergency rescue arriving at the scene of an accident,time for on-site treatments,transfer time,residence time in emergency room,time from injury to operation,etc) and treatment outcome of patients with different degree of trauma. Results There were no significant differences between the two groups in aspects of gender,age,sites of injury,constituent ratio of multiple injuries and ISS score (P ＞0.05).Control group had no marked differences from control group for the time used in emergency rescue arriving at the accident scene[(16.3±12.8)min vs(18.1±14.3) min] and the time taken to transfer patients [(10.4±3.3) min vs (10.9±6.2)min](P ＞0.05).However,the differences were significant between study group and control group in aspects of time for on-site treatments [(12.6±8.2)min vs(25.4±10.4)min,P ＜0.05] and residence time in emergency room [(35.7±19.1)min vs (82.3±38.8)min,P ＜0.01] and time from injury to operation [(66.5 ± 21.5) min vs (117.7 ± 45.3) min,P ＜0.01].Overall improvement rate in study group was significantly better than that in control group (89％ vs 71％,P ＜0.05),especially in the patients with ISS≥16 points (87％ vs 68％,P ＜0.01).However,there was no statistical difference in the patients with ISS ＜16 points of the two groups (94％vs 79％,P ＞0.05).For the patients with ISS≥25 points,the improvement rate in study group was significantly better that in control group (79％vs37％,P ＜0.01). Conclusion Trauma database information management optimizes the process for mass trauma care,shortens emergency response time and improves the treatment success rate,especially for the patients with severe trauma.
$author.xingMing_EN,$author.xingMing_EN,$author.xingMing_EN et al. Application of trauma information management system in treatment of mass trauma[J]. CHINESE JOURNAL OF TRAUMA, 2013, 29(11): 1045-1048.
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