Situation analysis of trauma based on Arizona trauma center standards in university hospitals of Tehran, Iran

作     者：Mahdi Sharif-Alhoseini Aliashraf Eghbali Vafa Rahimi-Movaghar Soheil Saadat 

作者机构：Sina Trauma and Surgery Research Center Sina Hospital Tehran University of Medical Sciences Tehran 11365-3876 Iran 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2009年第12卷第5期

页      面：-页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

基　　金：Sina Trauma and Surgery Research Center  Tehran University of Medical Sciences  Tehran  Iran 

主　　题：Trauma centers Hospitals Iran Arizona Reference standards 

摘      要：Objective: Injuries are common and important problem in Tehran, capital of Iran. Although therapeutic centers are not essentially established following the constructional principles of developed countries, the present opportunities and equipments have to be used properly. We should recognize and reduce the deficits based on the global *** study deliberates the trauma resources and capacities in university hospitals of Tehran based on Arizona trauma center standards, which are suitable for the assessment of trauma ***: Forty-one university hospitals in Tehran were evaluated for their conformity with Arizona trauma center standards in 2008. A structured interview was arranged with the Educational Supervisor of all hospitals regarding their institutional organization, departments, clini-cal capabilities, clinical qualifications, facilities and resources, rehabilitation services, performance improvement, continuing education, prevention, research and additional requirements for pediatric trauma patients. Relative frequencies and percentages were calculated and Student s t test was used to compare the mean ***: Forty-one hospitals had the average of 77.7 (50.7%) standards from 153 Arizona trauma center standards and these standards were present in 97.5 out of 153 (63.7%) in 17 general hospitals. Based on the subgroups of the standards, 64.8% items of hospital resources and capabilities were considered as a subgroup with the maximum criteria, and 17.7% items of research section as another subgroup with the minimum ***: On the basis of our findings, no hospital meet all the Arizona trauma center standards completely. The hospitals as trauma centers at different levels must be promoted to manage trauma patients desirably.