Volume 44 Issue 8
Aug.  2023
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Article Navigation >  Journal of Kunming Medical University  > 2023  >  44(8): 128-132
Lan Shen, Tongqing Pu, Jiangbo Ding, lunqing Pu, Gang Ma, Tianrui Wang. Application Effect of Whole-process Management Based on Rapid Rehabilitation Combined with Damage Control in Multiple Injuries[J]. Journal of Kunming Medical University, 2023, 44(8): 128-132. doi: 10.12259/j.issn.2095-610X.S20230825
Citation: Lan Shen, Tongqing Pu, Jiangbo Ding, lunqing Pu, Gang Ma, Tianrui Wang. Application Effect of Whole-process Management Based on Rapid Rehabilitation Combined with Damage Control in Multiple Injuries[J]. Journal of Kunming Medical University, 2023, 44(8): 128-132. doi: 10.12259/j.issn.2095-610X.S20230825
shu

Application Effect of Whole-process Management Based on Rapid Rehabilitation Combined with Damage Control in Multiple Injuries

doi: 10.12259/j.issn.2095-610X.S20230825
  • 1.

    Honghe Hospital Affiliated to Kunming Medical University/Trauma Center of South Yunnan Central Hospital（First People’s Hospital of Honghe Prefecture），Mengzi Yunnan 661199

  • 2.

    Dept. of Orthopedics，Affiliated Hospital of Qingdao University，Qingdao Shandong 266555，China

  • Received Date: 2023-06-13
    Available Online: 2023-09-05
  • Publish Date: 2023-08-30
    Abstract
  •   Objective  To explore the application effect of whole-process management combined with injury control based on rapid rehabilitation in multiple injuries.   Methods  43 patients with multiple injuries treated with the traditional specialized treatment mode at the Affiliated Honghe Hospital of Kunming Medical University from January 2019 to December 2020 were selected as the control group. 43 patients with multiple injuries treated with the whole-process management and injury control surgery mode based on rapid rehabilitation at the Affiliated Honghe Hospital of Kunming Medical University from January 2021 to December 2022 were selected as the observation group. The rescue response time, on-site treatment time, warning time, ICU admission time, fluid volume, blood transfusion volume, length of hospital stay, hospitalization costs, treatment success rate, and occurrence of adverse reactions were compared between the two groups.  Results  The observation group had significantly shorter rescue response time, on-site treatment time, warning time, ICU admission time, and hospital stay compared to the control group （P < 0.05）. The observation group had significantly less fluid and blood transfusion volume than the control group （P < 0.05）, but had significantly higher hospitalization costs than the control group （P < 0.05）. The observation group had a significantly higher treatment success rate （95.35% vs 81.40%） compared to the control group （P < 0.05）. There was no statistically significant difference in the incidence of thrombosis （9.30% vs 13.95%）, disseminated intravascular coagulation （0.00% vs 4.65%）, pulmonary infection （4.65% vs 9.30%）, and pulmonary atelectasis （0.00% vs 4.65%） between the observation group and the control group （P > 0.05）. The incidence of complications in the observation group （13.95% vs 32.56%） was significantly lower than that in the control group （P < 0.05）.  Conclusion   The application of whole-process management based on rapid rehabilitation combined with injury control in multiple injuries can effectively improve the rescue efficiency and the success rate of treatment, reduce adverse reactions and accelerate the recovery of patients.
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