【摘 要】
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Objective To observe the annual variation of mortality and discharge against medical advice (DAMA) in major trauma patients admitted to a Chinese ICU, and to improve the quality of trauma care.Methods
【机 构】
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Department of Emergency Medicine,Second Affiliated Hospital,School of Medicine & Institute of Emerge
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Objective To observe the annual variation of mortality and discharge against medical advice (DAMA) in major trauma patients admitted to a Chinese ICU, and to improve the quality of trauma care.Methods A retrospective analysis was performed on major trauma patients who died or were discharge against medical advice in the emergency ICU of a university hospital from 2003 to 2008.These information included demographic data, cause of injury, Injury Severity Score (ISS), Acute Physiology and Chronic Health Evaluation Ⅱ (APACHE Ⅱ), Glasgow Coma Scale (GCS), length of stay in ICU, etc.For these patients with DAMA, they were classified as dying, deteriorative or improved according to their situation of discharge.The dying patients were analyzed as death.The annual variation of mortality and discharge against medical advice were observed in these 6 years.These parameters were compared between the two periods (2003 to 2005 and 2006 to 2008).
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