快速急性生理评分与快速急诊内科评分对急诊危重病人预后的临床意义  

Prediction of Rapid Acute Physiology Score and Rapid Emergency Medicine Score in Critically Ill Patients in Emergency

作　　者：何钰熙 管癸芬[1] 谢佩玲[1] 

机构地区：[1]广州医科大学附属第二医院急诊科,广东广州510260

出　　处：《临床医学工程》2015年第5期662-663,共2页Clinical Medicine & Engineering

基　　金：2013年度广州市医药卫生科技项目(20131A011149);广州市医学重点学科建设项目

摘　　要：目的探讨快速急性生理评分(RAPS)与快速急诊内科评分(REMS)对预测急诊危重症病人的预后的临床意义。方法回顾分析急诊抢救室收治的169例急危重症病人并进行RAPS与REMS评分,比较存活组与死亡组之间两种评分的分值。结果随着REMS评分或RAPS评分分值的增加,病人病死率明显增加(均P<0.05)。结论 REMS作为一种简单的评分系统,能够初步预测急诊危重病人的预后,具有一定的临床应用价值。Objective To discuss the clinical significance of rapid acute physiology score （RAPS） and rapid emergency medicine score （REMS） in emergency department. Methods 169 cases of critical ill patients admitted to rescue room of emergency department were analyzed retrospectively. The differences of RAPS score and REMS score between survival group and death group were analyzed. Results With the increase of REMS or RAPS, patients＇ mortality increased significantly （P 〈0.05）. Conclusions As a simple scoring system, REMS can preliminarily predict the prognosis of critically ill patients in emergency. It has a certain clinical application value.

关 键 词：快速急性生理评分 快速急诊内科评分 预测 急诊危重病人 预后 

分 类 号：R473[医药卫生—护理学]