CAJ | 학술논문

目的：探索影响急诊绿色通道创伤患者滞留时间的相关因素，为医院管理者为患者滞留时间改善急救创伤相关制度提供理论支持。方法回顾性分析我院2013年6月~2014年6月急诊绿色通道创伤患者的临床资料，以可能影响滞留时间因素为自变量，滞留时间为因变量，采用二分类 Logistic 回归方法分析相关可能因素对滞留时间的影响程度。结果1)两组患者在年龄、入院方式、就诊时间段以及是否合并颅脑损伤上，两组人数比较差异有显著性(P <0．05)；而两组患者在创伤类型，收入 ICU、节假日就诊、就诊月份及是否转院、受教育程度、户籍、性别上，两组人数比较差异无显著性(P >0．05)。2)影响急诊绿色通道创伤患者滞留时间的主要因素有年龄、入院方式、就诊时间段。结论影响我院医院急诊绿色通道创伤患者滞留时间主要因素有年龄、入院方式、就诊时间段以及是否合并头颈伤，且四者之间存在高度的相关性，值得重视并进一步研究。
목적：탐색영향급진록색통도창상환자체류시간적상관인소，위의원관리자위환자체류시간개선급구창상상관제도제공이론지지。방법회고성분석아원2013년6월~2014년6월급진록색통도창상환자적림상자료，이가능영향체류시간인소위자변량，체류시간위인변량，채용이분류 Logistic 회귀방법분석상관가능인소대체류시간적영향정도。결과1)량조환자재년령、입원방식、취진시간단이급시부합병로뇌손상상，량조인수비교차이유현저성(P <0．05)；이량조환자재창상류형，수입 ICU、절가일취진、취진월빈급시부전원、수교육정도、호적、성별상，량조인수비교차이무현저성(P >0．05)。2)영향급진록색통도창상환자체류시간적주요인소유년령、입원방식、취진시간단。결론영향아원의원급진록색통도창상환자체류시간주요인소유년령、입원방식、취진시간단이급시부합병두경상，차사자지간존재고도적상관성，치득중시병진일보연구。
Objective To explore the factors affecting the green channel emergency trauma patients residence time for hospital managers to improve emergency trauma patient residence time related systems provide theoretical support. Methods A retrospective analysis of our hospital from June 2013 to June 2014 emergency green channel clinical data in patients with severe trauma to the residence time of the factors that may affect as independent variables,the residence time as the depend-ent variable,using binary logistic regression analysis 12 possible factors impact on the residence time. Results 1) two groups in age,mode of admission,treatment period and whether the merger on traumatic brain injury,there was a significant difference in the number of groups,with statistical significance (P < 0. 05);and the two groups of patients in trauma type,in-come ICU,holiday visits,visits in January,whether referral,education,residence,gender,number two there is no significant difference was not statistically significant (P > 0. 05). The four main factors 2) emergency green channel residence time over 60min trauma patients:age,admission mode,the time period for treatment of head and neck injuries and whether the merger Multivariate Logistic regression found that the presence of the four highly correlated. Conclusion Affect my green channel hospital emergency trauma patients have a residence time of the main factors of age,admission mode,the time period for treat-ment of head and neck injuries and whether the merger,there is a high correlation between the four and deserves attention and further study.