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被美国外科医师学院(ACS)称之为Ⅰ类创伤中心的马利兰州紧急医疗服务研究所(MIEMSS),对短期住院病例作了回顾性研究。目的是为了分析这些住院病人中“不恰当”的比例有多大。评定入院恰当与否的标准如下:(1) 恰当:伴有意识不清、癫痫发作、精神失常或麻痹的头部伤;伴有麻痹或感觉改变的脊髓伤;为解决颈椎X片的难题而转院;出血性食道静脉曲张。(2) 不恰当:无创伤的药物中毒;伴有轻伤的乙醇中毒;轻微的撕裂伤和擦伤;不伴有癫痫发作、麻痹或可疑的头部伤;单纯肢体伤;不伴有麻痹和感觉丧失的脊髓伤以及在监狱受的轻伤。当MIEMSS床位使用率回顾小组的医生不赞成某项入院性质时,就判定为不恰当。
The Maryland Institute for Emergency Medical Services (MIEMSS), which the American College of Surgeons (ACS) calls the Type I Trauma Center, conducted a retrospective study of short-term hospitalizations. The purpose is to analyze how large the “inappropriate” proportion of these inpatients is. The criteria for assessing the adequacy of admission are as follows: (1) Appropriate: Head injuries involving unconsciousness, seizures, mental disorders, or paralysis; spinal cord injuries accompanied by paralysis or sensory changes; transfer to solve the problem of cervical X-rays Hemorrhagic esophageal varices. (2) Inappropriate: non-invasive drug poisoning; ethanol poisoning with minor injuries; minor lacerations and abrasions; no seizures, paralysis or suspicious head injuries; simple limb injuries; not accompanied Paralysis and loss of spinal cord injuries and minor injuries in prisons. When the doctors of the MIEMSS review of bed occupancy rate disapproved of the nature of an admission, it was judged to be inappropriate.