在颅脑损伤患者预后预测中TRISS法和ASCOT法的应用比较  

Comparison of trauma and injury severity score and a severity characterization of trauma in predicting the outcome of patients suffered from craniocerebral injury

作　　者：陆远强[1] 刘容[1] 鲍德国[1] 

机构地区：[1]浙江大学医学院附属邵逸夫医院,浙江杭州310016

出　　处：《中国危重病急救医学》2000年第12期730-732,共3页Chinese Critical Care Medicine

摘　　要：目的 :比较 TRISS法和 ASCOT法对重度颅脑损伤患者结局的预测价值。方法 :对 16 4例重度颅脑损伤〔简明损伤分级 (AIS)≥ 3分〕患者分别应用 TRISS法和 ASCOT法 ,计算其生存概率 (Ps)和预测准确性 ,并进行比较。结果 :16 4例重度颅脑损伤患者中 ,TRISS法预测准确性为 0 .90 9,敏感性为 0 .6 2 1,特异性为0 .970 ;ASCOT法预测准确性为 0 .933,敏感性为 0 .6 5 5 ,特异性为 0 .993。结论 :在重度颅脑损伤患者结局预测的准确性、敏感性和特异性上 ,ASCOT法均比Objective:To compare the value of trauma and injury severity score (TRISS) and a severity characterization of trauma (ASCOT) in predicting the outcome of patients suffered from severe craniocerebral injury.Methods:The probability of survival (Ps) and the predictive accuracy were calculated in 164 patients suffered from severe craniocerebral injury 〔abbreviated injury scale (AIS)≥3〕 respectively by means of TRISS and ASCOT method in our hospital.The results were compared.Results:Among the 164 cases,the predictive accuracy,the sensitivity and the specificity of TRISS were respectively 0 909,0 621,0 970,and these of ASCOT were 0 933,0 655,0 993 respectively.Conclusions:The value of ASCOT is better than that of TRISS in predicting the outcome of patients suffered from severe craniocerebral injury.

关 键 词：TRISS法 ASCOT法 创伤评分 权重系数 

分 类 号：R651.15[医药卫生—外科学]