Influence of Spatial and Temporal Distance of the Hospital on Survival of Patients with Dangerous Injuries Sustained in Traffic Accidents

BACKGROUND: Effective care of any trauma is a priority in all health care systems. If a patient gets adequate treatment within “golden hour” from the injury the prognosis is better, but not as the only factor. The objective was focused on the influence of time and spacial distance of the hospital fr...

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Autores principales: Pelicic, Damir, Ristic, Branko, Radojevic, Nemanja, Djonovic, Nela, Radevic, Svetlana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Tehran University of Medical Sciences 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9647607/
https://www.ncbi.nlm.nih.gov/pubmed/36415791
http://dx.doi.org/10.18502/ijph.v51i10.10987
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author Pelicic, Damir
Ristic, Branko
Radojevic, Nemanja
Djonovic, Nela
Radevic, Svetlana
author_facet Pelicic, Damir
Ristic, Branko
Radojevic, Nemanja
Djonovic, Nela
Radevic, Svetlana
author_sort Pelicic, Damir
collection PubMed
description BACKGROUND: Effective care of any trauma is a priority in all health care systems. If a patient gets adequate treatment within “golden hour” from the injury the prognosis is better, but not as the only factor. The objective was focused on the influence of time and spacial distance of the hospital from the accident as determinant factors of survival, all in the aim Public Health System of Montenegro reorganisation for better accessibility for traumatized persons from 2011–2020. METHODS: Among 334 subjects, three groups were defined according to the type of injury: bleeding, ashpyxiations, and cranio-cerebral injuries. In every group lethal and non-lethal subjects were analyzed. RESULTS: Cut-off values are given by ROC curves following proximity and transportation time to hospital specific for injury sustained, as well as for nearest hospital, showed significant differences for proximity of any hospital for bleeding and asphyxiation injuries, and for proximity of any hospital and transportation time to the hospital specific for the sustained cranio-cerebral injury. CONCLUSION: Most of the seriously injured patients with bleeding or asphyxiation could be taken care of in any hospital while for cranio-cerebral injuries the specific hospital is crucial. How it is very often about, different organ systems are usualy injured in single patient, so the forming of easily available trauma centers net is the best solution for Montenegro, which is necessary for better survival rates.
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spelling pubmed-96476072022-11-21 Influence of Spatial and Temporal Distance of the Hospital on Survival of Patients with Dangerous Injuries Sustained in Traffic Accidents Pelicic, Damir Ristic, Branko Radojevic, Nemanja Djonovic, Nela Radevic, Svetlana Iran J Public Health Original Article BACKGROUND: Effective care of any trauma is a priority in all health care systems. If a patient gets adequate treatment within “golden hour” from the injury the prognosis is better, but not as the only factor. The objective was focused on the influence of time and spacial distance of the hospital from the accident as determinant factors of survival, all in the aim Public Health System of Montenegro reorganisation for better accessibility for traumatized persons from 2011–2020. METHODS: Among 334 subjects, three groups were defined according to the type of injury: bleeding, ashpyxiations, and cranio-cerebral injuries. In every group lethal and non-lethal subjects were analyzed. RESULTS: Cut-off values are given by ROC curves following proximity and transportation time to hospital specific for injury sustained, as well as for nearest hospital, showed significant differences for proximity of any hospital for bleeding and asphyxiation injuries, and for proximity of any hospital and transportation time to the hospital specific for the sustained cranio-cerebral injury. CONCLUSION: Most of the seriously injured patients with bleeding or asphyxiation could be taken care of in any hospital while for cranio-cerebral injuries the specific hospital is crucial. How it is very often about, different organ systems are usualy injured in single patient, so the forming of easily available trauma centers net is the best solution for Montenegro, which is necessary for better survival rates. Tehran University of Medical Sciences 2022-10 /pmc/articles/PMC9647607/ /pubmed/36415791 http://dx.doi.org/10.18502/ijph.v51i10.10987 Text en Copyright © 2022 Pelicic et al. Published by Tehran University of Medical Sciences https://creativecommons.org/licenses/by-nc/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International license (https://creativecommons.org/licenses/by-nc/4.0/). Non-commercial uses of the work are permitted, provided the original work is properly cited.
spellingShingle Original Article
Pelicic, Damir
Ristic, Branko
Radojevic, Nemanja
Djonovic, Nela
Radevic, Svetlana
Influence of Spatial and Temporal Distance of the Hospital on Survival of Patients with Dangerous Injuries Sustained in Traffic Accidents
title Influence of Spatial and Temporal Distance of the Hospital on Survival of Patients with Dangerous Injuries Sustained in Traffic Accidents
title_full Influence of Spatial and Temporal Distance of the Hospital on Survival of Patients with Dangerous Injuries Sustained in Traffic Accidents
title_fullStr Influence of Spatial and Temporal Distance of the Hospital on Survival of Patients with Dangerous Injuries Sustained in Traffic Accidents
title_full_unstemmed Influence of Spatial and Temporal Distance of the Hospital on Survival of Patients with Dangerous Injuries Sustained in Traffic Accidents
title_short Influence of Spatial and Temporal Distance of the Hospital on Survival of Patients with Dangerous Injuries Sustained in Traffic Accidents
title_sort influence of spatial and temporal distance of the hospital on survival of patients with dangerous injuries sustained in traffic accidents
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9647607/
https://www.ncbi.nlm.nih.gov/pubmed/36415791
http://dx.doi.org/10.18502/ijph.v51i10.10987
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