A temporary-sustainable team: A new multidisciplinary team model for severe trauma

Zhong, Xingming; Wen, Xiaohong; Ji, Chaohui; Fei, Xing-Zhen; Zhao, Xiaogang

doi:10.1016/j.cjtee.2020.09.007

Cited by 7 publications

(5 citation statements)

References 3 publications

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“…However, the management models vary greatly depending on the type of disease [13,14]. In this study, we adopted an "Internet +" multidisciplinary management model oriented by nurse specialists based on the internet technology and health management platform.…”

Section: Discussionmentioning

confidence: 99%

Effects of an “Internet +” Multidisciplinary Management Model Oriented by Nurse Specialists on Obesity Combined with Polycystic Ovary Syndrome

Ou¹,

Wu²,

Li³

et al. 2023

Clin. Exp. Obstet. Gynecol.

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Background: Polycystic ovary syndrome (PCOS) is the most common endocrine metabolic disease in women of reproductive age, and its treatment mainly relies on adjusting lifestyle and oral drug therapy. With the development of the Internet and shared economy, the "Internet + nursing services" model has become increasingly popular, is presently an essential component of the Health Wellness project and has a promising future. Methods: This study involved 100 gynecological outpatients with PCOS from the Foshan Maternal and Child Health Hospital. They were divided into a control (routine nursing) and an experimental ("Internet +" multidisciplinary management oriented by nurse specialists) group according to a predefined nursing scheme. Several indicators, such as rates of ovulation and pregnancy, body mass index (BMI), waistline, serum hormone levels, metabolic indicators and psychological status of patients, were compared between the two groups before and half a year after the nursing intervention. Results: Six months after the intervention, the experimental group had significantly higher ovulation and pregnancy rates than the control group (88.00% vs. 68.00%, 48.00% vs. 22.00%, p < 0.05). Additionally, the experimental group showed a significant decrease in BMI, waistline, serum hormone levels (i.e., testosterone and luteinizing hormone [LH]) and homeostasis model assessment of insulin resistance (HOMA-IR) compared to the control group (p < 0.05). However, no obvious differences were observed in follicle-stimulating hormone (FSH) and fasting blood glucose (FBG) (p > 0.05) compared with the control group. Further, patients in the experimental group also displayed better psychological status, with a significant decrease in self-rating anxiety scale (SAS) scores and self-rating depression scale (SDS) half a year after intervention (p < 0.05). Conclusions: Interventions using the "Internet +" multidisciplinary management model oriented by nurse specialists not only effectively increased the rates of ovulation and pregnancy of PCOS patients but also significantly improved patients' indicators such as BMI, waistline, serum hormone levels, metabolic indicators, and psychological status.

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Section: Discussionmentioning

confidence: 99%

Effects of an “Internet +” Multidisciplinary Management Model Oriented by Nurse Specialists on Obesity Combined with Polycystic Ovary Syndrome

Ou¹,

Wu²,

Li³

et al. 2023

Clin. Exp. Obstet. Gynecol.

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“…For the treatment of patients with severe maxillofacial injuries, we should not only pay attention to the injuries of our specialty, and ignore the injuries of other parts and organs of the whole body. Only by timely and effective treatment of serious systemic lifethreatening complications, and close cooperation with multiple disciplines, can we improve the success rate of treatment of this type of disease [7].…”

Section: Discussionmentioning

confidence: 99%

Application of Multidisciplinary Team (MDT) in The Treatment of Severe Maxillofacial Trauma: A Retrospective Study

Sun¹,

Tong²,

Yang³

et al. 2021

Preprint

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Background: The severe maxillofacial injuries often involves multiple systems and locations, requiring multiple surgical specialties to participate in injury assessment, emergency surgery and follow-up planned staged surgery, thus requiring the participation and guidance of a multidisciplinary team. This study explores the treatment effect of this model on patients with severe maxillofacial trauma, so as to better promote the standard of severe maxillofacial trauma treatment, aiming to establish a scientific and standardized system of severe trauma treatment. Method: We retrospectively analyzed the treatment process of 173 patients with severe maxillofacial trauma, including timely, orderly, and efficient out-of-hospital emergency treatment. Maxillofacial surgery led the in-hospital treatment, and coordinated with other disciplines to relieve respiratory obstruction, control bleeding, correct shock and save lives. We summarized the experience in the treatment of jaw fracture reduction and internal fixation after the condition was stable. Result: With the specialist treatment and close multidisciplinary cooperation, the treatment effect was good, and the reduction and internal fixation of jaw fractures had achieved satisfactory results. Conclusion: Multidisciplinary coordinated emergency treatment of severe maxillofacial trauma is an effective measure to improve the success rate of treatment.

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“…It has been a consensus that multidisciplinary collaboration plays an important role in the treatment of critically ill patients [13,14]. In the treatment for severe trauma , especially multiple trauma patients, MDT intervention is necessary.…”

Section: Multidisciplinary Collaboration Is An Essential Factor For Successfulmentioning

confidence: 99%

Discussion on the Key Factors for the Treatment of Extremely High-risk Abdominal Trauma Patients With Partial Full-thickness Abdominal Wall Defects

Gong¹,

Pang²,

Li³

et al. 2021

Preprint

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BackgroundPatients with extremely high-risk abdominal trauma and full-thickness necrosis and defects of the partial abdominal wall are clinically rare, and the treatments for these patients are very difficult and complex . In this study, we will explore the key factors for successful treatment of these patients . MethodsThree patients with extremely high-risk abdominal trauma and partial full-thickness abdominal wall defects were involved in this retrospective study, and one representative case was emphatically reviewed. According to the theory of damage control surgery,the consultation and coordinated treatment of multidisciplinary team(MDT) were involved firstly, then, stepped multiple operations,such as partial perforated small bowel resection, full-thickness abdominal wall defects repair, vacuum sealing drainage (VSD), and wounds skin grafts, were performed, meanwhile, systemic life resuscitation was strengthened. ResultsTwo patients were cured and discharged after 3 and 9 operations respectively. One patient suffered 2 operations and eventually died of lung infection and respiratory failure. ConclusionThe determination and responsibility of surgeons, rational use of damage control theory and multidisciplinary cooperation should be the keys for successful treatment.

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A temporary-sustainable team: A new multidisciplinary team model for severe trauma

Cited by 7 publications

References 3 publications

Effects of an “Internet +” Multidisciplinary Management Model Oriented by Nurse Specialists on Obesity Combined with Polycystic Ovary Syndrome

Effects of an “Internet +” Multidisciplinary Management Model Oriented by Nurse Specialists on Obesity Combined with Polycystic Ovary Syndrome

Application of Multidisciplinary Team (MDT) in The Treatment of Severe Maxillofacial Trauma: A Retrospective Study

Discussion on the Key Factors for the Treatment of Extremely High-risk Abdominal Trauma Patients With Partial Full-thickness Abdominal Wall Defects

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