改良澳大利亚预检系统在急诊创伤患者分诊中的应用研究  

Application of modified Australian Triage Scale(ATS)in triage of trauma patients in emergency department

作　　者：江敏[1] 邹灯秀[2] 郭春玲[1] 王凤霞 王红丽 黄素芳[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院急诊科,湖北武汉430030 [2]华中科技大学同济医学院附属同济医院ICU,湖北武汉430030 [3]武汉市东西湖区人民医院护理部

出　　处：《护理学杂志》2014年第22期13-15,共3页

基　　金：湖北省自然科学基金项目(2013CKB028)

摘　　要：目的探讨改良澳大利亚预检系统(Australian Triage Scale,ATS)在急诊创伤患者分诊中的应用价值。方法组织专业人员对澳大利亚预检系统进行翻译,并结合我国临床工作实际情况进行修订和改进。将178例批量创伤患者按照时间顺序分为对照组(87例)和观察组(91例)。对照组应用AIS-ISS评分检伤分诊,观察组应用ATS系统评估分诊。比较两组在检伤分诊时间、分诊准确率、抢救成功率和患者/家属对分诊工作满意度。结果观察组评估分诊时间短于对照组(P<0.01);而分诊准确率、抢救成功率、患者/家属对分诊工作满意度显著高于对照组(均P<0.05)。结论改良澳大利亚预检系统能快速评估伤情,指导急诊抢救治疗工作,减少分诊盲目性、增强准确性,为急诊创伤患者及时救治、合理分流提供科学依据。Objective To evaluate the value of modified Australian Triage Scale（ATS） in triage of trauma patients in emergency department （ED）.Methods The English-version of ATS was translated into Chinese and revised according to actual clinical situations in China by experts.Then,a batch of 178 trauma patients were divided into a control group （n=87） and an observation group （n=91） according to their chronological orders,and were given triage by AIS-ISS and ATS scoring respectively.Later,the triage time,triage accuracy rate,success rate of treatment and patients＇satisfaction were compared between the two groups.Results The triage time in the observation group was significantly shorter than that in the control group （P＜0.01）,while the triage accuracy rate,success rate of treatment and patients＇ satisfaction in the observation group were statistically higher than those in the control group （P＜0.05 for all）.Conclusion The modified ATS scoring system can quickly assess the injury and guide rescue work,reducing the blindness and inaccuracy and providing scientific basis for the trauma patients in ED to receive timely treatment and rational triage.

关 键 词：急诊 创伤 改良澳大利亚预检系统 损伤严重度评分 检伤分诊 

分 类 号：R472.2[医药卫生—急诊医学]