Volume 23 Issue 4
Apr.  2025
Turn off MathJax
Article Contents
LI Lin, WANG Enzhao, LI Laichun, ZHOU Jiehao, SONG Kun. Application of '5G' emergency management model in trauma emergency treatment[J]. Chinese Journal of General Practice, 2025, 23(4): 604-607. doi: 10.16766/j.cnki.issn.1674-4152.003961
Citation: LI Lin, WANG Enzhao, LI Laichun, ZHOU Jiehao, SONG Kun. Application of "5G" emergency management model in trauma emergency treatment[J]. Chinese Journal of General Practice, 2025, 23(4): 604-607. doi: 10.16766/j.cnki.issn.1674-4152.003961

Application of "5G" emergency management model in trauma emergency treatment

doi: 10.16766/j.cnki.issn.1674-4152.003961
Funds:

 FY2021-141

 工信厅联通信函〔2020〕270号

  • Received Date: 2024-08-13
    Available Online: 2025-06-30
  •   Objective  To explore the effect of the "5G" emergency management model in trauma treatment, and analyze the factors influencing the success rate of resuscitation.  Methods  A total of 198 trauma patients treated in Fuyang People' s Hospital from January 2021 to August 2023 were retrospectively analyzed. According to the different rescue models, they were divided into observation group (90 cases, treated using 5G emergency management model) and control group (108 cases, treated using routine trauma center rescue process). The rescue effect of the two groups were compared. According to whether the rescue was successful, the patients were divided into an effective group and an ineffective group. Univariate and Multivariate logistic regression analysis were performed to identify the risk factors affecting the success of the rescue, and based on this, a corresponding early warning model was established.  Results  Compared with the control group, the observation group had shorter examination completion time, consultation completion time, first diagnosis confirmation time, blood transfusion waiting time, and surgery waiting time (P < 0.05), the ICU admission rate and mortality rate were low (P < 0.05). Compared with the effective group, the time from injury to admission in the ineffective group was significantly longer, the injure severity score (ISS) score before treatment was higher, and the proportion of patients with abbreviated injury scale (AIS) head and AIS chest scores ≥3 was larger (P < 0.05). Logistic regression analysis showed that high ISS score before treatment, AIS≥3 score and long time from injury to hospital admission were risk factors affecting the treatment effect of trauma patients (OR > 1, P < 0.05), while adopting the "5G" emergency management model was a protective factor to improve the rescue effect of trauma patients (OR < 1, P < 0.05). Early warning model constructed by four factors, including ISS score, ASI score, time from injury to admission, and rescue management model, had high early prediction power on the rescue effect of trauma patients, with ROC-AUC of 0.861.  Conclusion  ISS score, ASI score, and time from injury to admission are factors that affect the treatment effect of trauma patients. Adopting the "5G" emergency management model can improve the rescue efficiency and success rate. The early warning model built based on the influencing factors has good predictive effectiveness for the treatment effect of trauma patients.

     

  • loading
  • [1]
    何颖, 蒲川, 王秋婷, 等. 重庆市院前急救创伤患者的流行病学特征与救治结局研究[J]. 创伤外科杂志, 2023, 25(11): 849-855.

    HE Y, PU C, WANG Q T, et al. Epidemiological characteristics of pre-hospital emergency trauma patients and treatment outcomes in Chongqing City[J]. Journal of Traumatic Surgery, 2023, 25(11): 849-855.
    [2]
    熊飞, 邵小平, 芮碧宇. 基于多学科协作的创伤性老年髋部骨折诊疗与护理模式的实施和效果评价[J]. 中华全科医学, 2023, 21(12): 2156-2159. doi: 10.16766/j.cnki.issn.1674-4152.003312

    XIONG F, SHAO X P, RUI B Y, et al. Implementation and evaluation of a multidisciplinary team-based model for managing and caring for elderly patients with traumatic hip fractures[J]. Chinese Journal of General Practice, 2023, 21(12): 2156-2159. doi: 10.16766/j.cnki.issn.1674-4152.003312
    [3]
    梁钟琴, 吴月峰. 优化急诊护理流程对急性脑梗死患者急救效果的研究[J]. 中华全科医学, 2019, 17(4): 682-685. doi: 10.16766/j.cnki.issn.1674-4152.000766

    LIANG Z Q, WU Y F. Study on the effect of optimizing emergency nursing procedure on emergency treatment of patients with acute cerebral infarction[J]. Chinese Journal of General Practice, 2019, 17(4): 682-685. doi: 10.16766/j.cnki.issn.1674-4152.000766
    [4]
    ZHURAVLEV S V, KOLODKIN A A, MAKSIMOV D A, et al. The organization of registration of rate, capacity and effectiveness of first aid measures[J]. Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med, 2020, 28(4): 616-620.
    [5]
    杜哲, 黄伟, 王志伟, 等. 多学科协作诊疗模式在严重创伤患者救治中的应用[J]. 北京大学学报(医学版), 2020, 52(2): 298-301.

    DU Z, HUANG W, WANG Z W, et al. Application of multidisciplinary team (MDT) in the treatment of severe trauma[J]. Journal of Peking University(Health Sciences), 2020, 52(2): 298-301.
    [6]
    孙浩, 高惠, 王骅, 等. 创伤中心在严重多发伤患者救治中的作用研究[J]. 中国急救复苏与灾害医学杂志, 2022, 17(5): 580-584.

    SUN H, GAO H, WANG H, et al. The role of trauma center in the treatment of patients with severe multiple injuries[J]. China Journal of Emergency Resuscitation and Disaster Medicine, 2022, 17(5): 580-584.
    [7]
    KWON J, LEE M, KIM Y, et al. Trauma system establishment and outcome improvement: a retrospective national cohort study in South Korea[J]. Int J Surg, 2023, 109(8): 2293-2302. doi: 10.1097/JS9.0000000000000481
    [8]
    郭程, 俞晔, 谢仁国, 等. 5G智慧医疗院前急救模式探讨[J]. 中国卫生质量管理, 2021, 28(1): 61-63.

    GUO C, YU Y, XIE R G, et al. Discussion on pre-hospital first-aid mode of 5G smart medical treatment[J]. Chinese Health Quality Managem, 2021, 28(1): 61-63.
    [9]
    ADENUGA A, ADEYEYE A. Injury severity score as a predictor of mortality in patients with abdominal trauma at a tertiary Nigerian hospital[J]. Niger J Clin Pract, 2023, 26(2): 223-228. doi: 10.4103/njcp.njcp_559_22
    [10]
    MAHAJAN C, SENGUPTA D, KAPOOR I, et al. Evaluation of the GCS-Pupils Score for prognosis in traumatic brain injury: the COMA study[J]. Brain Inj, 2023, 37(9): 1041-1047. doi: 10.1080/02699052.2023.2227943
    [11]
    BASAK D, CHATTERJEE S, ATTERGRIM J, et al. Glasgow coma scale compared to other trauma scores in discriminating in-hospital mortality of traumatic brain injury patients admitted to urban Indian hospitals: a multicentre prospective cohort study[J]. Injury, 2023, 54(1): 93-99.
    [12]
    TOIDA C, MUGURUMA T, GAKUMAZAWA M, et al. Evaluating the definition of severely injured patients: a Japanese nationwide 5-year retrospective study[J]. BMJ Open, 2023, 13(2): e062619. DOI: 10.1136/bmjopen-2022-062619.
    [13]
    赵明阶, 魏婧, 徐华, 等. 创伤严重度评分法在创伤患者院内急救及护理管理中的应用效果[J]. 中西医结合护理(中英文), 2023, 9(10): 151-153.

    ZHAO M J, WEI J, XU H, et al. Application effect of injury severity score in hospital first aid and nursing management of trauma patients[J]. Journal of Clinical Nursing in Practice, 2023, 9(10): 151-153.
    [14]
    JEONG T S, CHOI D H, KIM W K. The relationship between trauma scoring systems and outcomes in patients with severe traumatic brain injury[J]. Korean J Neurotrauma, 2022, 18(2): 169-177.
    [15]
    HATCHIMONJI J S, LUKS V L, SWENDIMAN R A, et al. Settling the score: injury severity score fails to capture nuances in pediatric trauma[J]. Pediatr Emerg Care, 2022, 38(2): e828-e832.
    [16]
    JIANG D S, CHEN T X, YUAN X Y, et al. Predictive value of the Trauma rating index in age, Glasgow coma scale, respiratory rate and Systolic blood pressure score (TRIAGES) and Revised trauma score (RTS) for the short-term mortality of patients with isolated traumatic brain injury[J]. Am J Emerg Med, 2023, 71: 175-181.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(2)  / Tables(5)

    Article Metrics

    Article views (16) PDF downloads(2) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return