Document Detail

Factors influencing humanitarian care and the treatment of local patients within the deployed military medical system: casualty referral limitations.
MedLine Citation:
PMID:  22521047     Owner:  NLM     Status:  In-Data-Review    
BACKGROUND: Humanitarian medical care is an essential task of the deployed military health care system. The purpose of this study was to analyze referral acceptance in treating injured local national patients during Operation Enduring Freedom.
METHODS: A prospective observation study of local nationals who were referred for humanitarian trauma care in Afghanistan from March through August 2009.
RESULTS: Sixty-six patients were referred for evacuation for suspected non-coalition-caused injuries. The bed status at the receiving hospital was defined as green (able to accept patients), amber (nearing capacity), and red (at capacity). The only factor associated with acceptance was the accepting hospital bed status (odds ratio = 1.57%, 95% confidence interval, 1.11-2.22; P = .009). Factors not significant were age, the province of origin, the type of referring facility, a prior operation before the request, patient status/affiliation, or the mechanism of injury.
CONCLUSIONS: Humanitarian medical care is directly related to the capacity for high-acuity care because bed availability is the predominate reason for acceptance or rejection.
Marlin Causey; Robert M Rush; Randy J Kjorstad; James A Sebesta
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  203     ISSN:  1879-1883     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-04-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  574-7     Citation Subset:  AIM; IM    
Copyright Information:
Published by Elsevier Inc.
Department of Surgery, Madigan Army Medical Center, Tacoma, WA 98431, USA.
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