创伤结局的多因素分析  

Multivanate analysis of prognostic factors of trauma patients

作　　者：陈锡林[1] 王维平[1] 汪维生[1] 李强[1] 戴强生[1] 王永谦[1] 宋武[1] 

机构地区：[1]中山大学附属第一医院急诊外科,广州510080

出　　处：《中华急诊医学杂志》2006年第5期454-456,共3页Chinese Journal of Emergency Medicine

摘　　要：目的探讨影响创伤结局的各种因素,建立创伤结局预测模型,为提高创伤救治水平提供有用的信息。方法回顾性分析1131例创伤患者的资料,以创伤生存率为反应变量,对生理评分、SIRS评分和解剖损伤评分进行Logistic回归分析,并考虑年龄等因素,计算出各自的权重。结果 GCS、SIRS、年龄和收缩压进入Logistic回归方程,解剖损伤评分未进入回归方程。结论 GCS、SIRS、收缩压、年龄是影响创伤结局的重要因素。Objective To investigate the factors associated with prognosis of trauma patients, and to establish a prognostic model of trauma for providing useful information of trauma treatment. Methods 1131 patients with trauma were retrospectively studied. Multiple factors, including physiologic trauma score, systemic inflammatory response sydrome （SIRS） score and anatomic injury score, were analyzed to fit the logistic model with possibility of survival as response variable. Results The logistic regression equation factors included Glasgow Coma Score （GCS）, SIRS, age and systolic blood pressure but not anatomic injury score. Conclusions The factors associated with trauma patients include GCS, SIRS, systolic blood pressure and age. The model was easy to use.

关 键 词：创伤 LOGISTIC回归 预后 权重 

分 类 号：R641[医药卫生—外科学]