简介:AbstractPurpose:Lengthy hospitalization places a burden on patients and healthcare resources. However, the factors affecting the length of hospital stay (LHoS) and length of emergency room stay (LERS) in non-fatal bicycle accidents are currently unclear. We investigated these factors to inform efforts to minimize hospitalization.Methods:We performed a retrospective analysis of data from non-fatal injured bicyclists admitted to the Emergency and Critical Care Center at Kyoto Medical Center between January 2012 and December 2016. We measured LHoS, LERS, mechanism of injury, head injury prevalence, polytrauma, operations performed, injury severity score (ISS), abbreviated injury scale (AIS) score, maximum AIS score, and trauma and injury severity score probability of survival. We conducted multiple regression analysis to determine predictors of LHoS and LERS.Results:Within the study period, 82 victims met the inclusion and exclusion criteria and were included. Mean age was (46.0 ± 24.7) years. Overall mean LHoS was (16.8 ± 25.2) days, mean LERS was (10.6 ± 14.7) days, median ISS was 9 (interquartile range (IQR): 3-16), median maximum AIS was 3 (IQR: 1-4), and median trauma and injury severity score probability of survival was 98.0% (IQR: 95.5%-99.6%). Age, maximum AIS, ISS, and prevalence of surgery were significantly greater in long LHoS and LERS group compared with short LHoS and LERS group (p < 0.05). Performance of surgery independently explained LHoS (p = 0.0003) and ISS independently explained LERS (p = 0.0009).Conclusion:Surgery was associated with long hospital stays and ISS was associated with long emergency room stays. To improve the quality life of the bicyclists, preventive measures for reducing injury severity or avoiding injuries needing operation are required.
简介:StartingFromaSpecialCaseRecently,thetrialofacaseintheBeijingSecondIntermediatePeople’sCourthasdrawnpublicattention.Ms.Liang,thevictimofthecase,wasadoctorinahospitalataothercityoriginally.Withresultrankingthefirstinthecountry,inJune2011shewasadmittedtoUnionMedicalCollegeHospital,arenownedoneinChinesemedical
简介:AbstractPurpose:Trauma is a major health concern. Length of hospital stay (LOS) has been targeted as an important metric to assess trauma care. This study aims to evaluate the risk factors that affect LOS among trauma patients in a trauma center in Southwestern Iran.Methods:This cross-sectional study was conducted on patients admitted to Rajaee Trauma Center, Shiraz, Iran between January 1, 2018 and December 30, 2018. The inclusion criteria were age above 15 years and having traffic accident injuries, including car, motorcycle and pedestrian injury mechanisms. The exclusion criteria were existing diseases including cardiovascular, cerebral, renal, and pulmonary diseases prior to this study, dead upon arrival or within 48 h after admission, and stay at the hospital for less than 6 h. The risk variables analyzed for prolonged LOS were age, gender, mechanism of traffic accident injury, infection during hospital stay, type of injury, injury severity score, surgery during hospitalization, and survival. Poisson regression was performed to evaluate the partial effects of each co- variate on trauma hospitalization (≥3 days as longer stay).Results:This study was conducted on 14,054 patients with traffic accident injury and the mean age was (33.89 ± 15.78) years. Additionally, 74.35% of the patients were male, with male to female ratio of 2.90. The result of Poisson regression indicated that male patients, higher age, combination of thoracic injuries, onset of infected sites, and surgery patients were more susceptible to have a longer LOS. Considering the site of injury, patients with face injuries followed by those with thorax injuries had the highest means of LOS (3.74 days and 3.36 days, respectively). Simultaneous existence of surgical inter- vention and infection in a patient had the greatest impact on prolonged LOS.Conclusion:This study identified that age, gender, mechanism of injury, infection, type of injury, survival, and ISS could lead to prolongation of LOS, but the affect can be reduced by eliminating modifiable risk factors.
简介:【摘要】:新课程改革以促进学生素质的全面提高为宗旨,确立了知识与技能,过程与方法,情感态度与价值观三维一体的课程目标。在新课程改革的理念下,小学英语课堂教学在关注听,说,读,写的教学的同时,也十分强调学生在实际生活中的亲身体验、感知和实际的操练。在小学英语课堂教学中,英语教学情境的创设应致力于通过各个教学环节,把学生的注意力引入到生动的情景演绎中去,从而引发学生学习语言的迫切需求,为学生提供用语言做事情的机会,让他们在自主学习和探究,合作交流的过程中真正了解和掌握所需的英语知识和技能。而“爱种子”教学模式的互动探究课堂,就是为了寻找和打造能适应新时代发展、面向核心学科素养、促进学生全面发展的教学模式。“爱种子”互动探究课堂是基于情境开展生生之间、师生之间的互动探究实践而“习得”,从而让学生获得“用语言做事情”的语言技能。