Novosti
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This journal is indexed in Scopus |
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Year 2021 Vol. 29 No 2
ORGANIZATION OF SURGICAL CARE
A.P. TRUKHAN 1, D.V. ALKHOVIK 2, I.G. KOSINSKY 1
REPUBLICAN CENTER FOR TREATMENT OF GUNSHOT WOUNDS AND MINE-EXPLOSIVE INJURIES: 3 YEARS OF EXPERIENCE AND TRENDS OF DEVELOPMENT
432 Main Military Clinical Medical Center of the Armed Forces of the Republic of Belarus 1,
Military Medical Department of the Ministry of Defense of the Republic of Belarus 2
Objective. To evaluate the results of organizational measures for improving the efficiency of the Republican Center for the treatment of gunshot wounds and mine-explosive injuries.
Methods. The study is based on an analysis of the work of the Republican Center for the treatment of gunshot wounds and mine-explosive injuries and includes patients (n=54) who were treated from November 1, 2016 to October 31, 2019. Gunshot wounds were detected in 42 patients (77.8%). Explosive trauma was detected in 12 patients (22.2%). The most common causes of injuries were personal carelessness (20 cases (37.0%)), carelessness of others (16 cases (29.6%)), suicidal attempts (9 cases (16.6%)). In accordance with the purpose of the survey, three equal time intervals (three periods) each being equal to one year were studied. The following indicators were analyzed: the number of patients, the time from the moment of injuring to hospitalization, the type of patient’s transportation, the quality of surgical care at the hospitalization stages.
Results. Implementation of the proposed organizational measures allowed increasing the number of patients hospitalized into the Republican Center for the treatment of gunshot wounds and mine-explosive injuries during the third year of work by 66.7% and 78.6%, respectively, compared with the previous time intervals. The frequency of hospitalization of patients within 24 hours after receiving an injury increased from 66.7% to 72.7%, and among patients who are not military personnel – from 45.5% to 69.2%. The proportion of errors in the treatment of patients with gunshot wounds and explosive injuries decreased by 34.0%.
Conclusion. The proposed organizational measures allowed increasing the efficiency of the Republican Center for the treatment of gunshot wounds and mine-explosive injuries. In the future, it is advisable to continue close cooperation with healthcare organizations and to improve the regulatory framework for the treatment of gunshot wounds of various localization.
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220123, Republic of Belarus,
Minsk, Masherov Avenue, 26,
432 Main Military Clinical Medical Center
of the Armed Forces of the Republic of Belarus,
mob. tel. 8-044-7331058,
e-mail:aleksdoc@yandex.ru,
Trukhan Alexei P.
Trukhan Alexei P., PhD, Associate Professor, Leading Surgeon of the 432 Main Military Clinical Medical Center of the Armed Forces of the Republic of Belarus, Minsk, Republic of Belarus.
http://orcid.org/0000-0001-7422-8014
Alkhovik Dmitry V., Head of the Military Medical Department of the Ministry of Defense of the Republic of Belarus, Minsk, Republic of Belarus.
http://orcid.org/0000-0002-3948-8969
Kosinsky Igor G., Head of the 432 Main Military Clinical Medical Center of the Armed Forces of the Republic of Belarus, Minsk, Republic of Belarus.
http://orcid.org/0000-0002-8679-343X
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