摘要
目的探讨创伤评分(trauma score,TS)、修正创伤评分(revised trauma score,RTS)、循环、呼吸、胸腹、运动和语言(circulation,respiration,abdomen,motor and speech,CRAMS)评分、院前分类指数(prehospital index,PHI)和创伤指数(trauma index,TI)等五种院前创伤评分方法在急危重症创伤患者识别中的应用效果。方法将五种院前创伤评分方法设计插入急诊预检分诊信息系统之中,便利抽样法选择南京鼓楼医院急诊科2014年1-6月符合条件的外伤患者共107例进行评分,并将评分结果加以比较分析。结果TS、RTS、CRAMS、PHI、TI等五种创伤评分ROC曲线下面积分别为0.808、0.774、0.785、0.765、0.818,TI评分在五种评分方法中对急危重伤员的识别性能最好,但灵敏度不高(0.517),易造成预测结果的假阳性。结论院前创伤评分方法用于急诊预检分诊能够帮助急诊护士早期识别急危重症创伤患者,有利于提高创伤患者的救治成功率,但每种评分均有其局限性,不完全适合急诊分诊,应结合实际工作加以选择和改良研究。
Objective To investigate the application effect of five pre-hospital trauma scoring methods.They are trauma score（TS）,revised trauma score（RTS）,circulation,respiration,abdomen,motor and speech（CRAMS）,pre-hospital index（PHI）and trauma index（TI）.Methods Five pre-hospital trauma scoring methods were integrated into emergency triage system.A total of 107 cases were randomly selected and the results were analyzed and compared.Results The areas under ROC curve of TS,RTS,CRAMS,PHI and TI were 0.808,0.774,0.785,0.765 and 0.818 respectively,which indicated that the recognition of TI was the best,while TI easily led to false positive prediction caused by its low sensitivity（0.517）.Conclusion Pre-hospital trauma scoring methods can improve early recognition of critical trauma patients in emergency triage and increase the success rate of rescue,however,each scoring method has its limitations which cannot be entirely applied to emergency triage system and modification combined with the actual situation of emergency is needed.
出处
《解放军护理杂志》
CSCD
2015年第22期57-58,64,共3页
Nursing Journal of Chinese People's Liberation Army
基金
南京市卫生局2011年科研课题(YKK11103)
关键词
创伤评价
急诊
分诊
急危重症患者
trauma scoring
emergency
triage
emergency and critical
作者简介
付逸超，本科，护师，研究方向为急诊科护理
【通信作者】黄萍，E-mail：hp2256@126．com
