四种检伤分类方法与芦山地震伤患者住院时间、ICU留置时间及创伤危重度的相关性分析  

Correlation analysis of four triage methods for the length of hospital stay,length of ICU stay and the severity of injury in Lushan earthquake victims

作　　者：席茜[1] 白艳[1] 陈晓莉[1] 叶磊[1] 胡海[1] XIQian BAI Yan CHEN Xiaoli YE Lei HU Hal Emergency(epartment, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, P.R.China)

机构地区：[1]四川大学华西医院急诊科,成都610041

出　　处：《中国循证医学杂志》2017年第7期756-759,共4页Chinese Journal of Evidence-based Medicine

基　　金：中国卫计委公益性行业科研专项(编号:201302003)

摘　　要：目的探讨START检伤分类、Care-Flight检伤分类、快速急诊医学分类(rapid emergency medicine score,REMS)和Sacco评分与芦山地震伤患者住院时间、ICU留置时间和创伤危重度的相关性。方法回顾性分析2013年4月20日至4月26日从芦山地震前线医院转入我院急诊科就诊检伤分类中非绿色的危重地震伤员41例。比较不同检伤分类患者的住院时间和ICU留置时间并分析四种检伤方法与住院时间、ICU留置时间和损伤严重评分(ISS)的相关性。结果 START分类、Care-Flight检伤分类为红色者ICU留置时间长于黄色者,但住院时间无明显差异。此外,START分类法和Care-Flight检伤分类法归为危重的伤员与ICU留置时间之间存在相关关系。结论 START检伤分类法和Care-Flight检伤分类法分类为红色的危重伤员其ICU留置时间较长;START和Care-Flight检伤分类等级与ICU留置时间具有相关性。Objective To evaluate four triage methods including START, Care-Flight, rapid emergency medicine score （REMS） and Sacco score for the length of hospital stay, length of ICU stay and the severity of injury in Lushan earthquake victims. Methods A retrospective analysis was performed in 41 cases of critical earthquake victims in the emergency department of West China Hospital from April 20th to April 26th, 2013 in Lushan earthquake. The length of hospital stay and length of ICU stay were compared for four triage methods. The correlation between four triage methods and length of hospital stay, length of ICU stay and injury severity score （ISS） were also analyzed. Results The length of ICU stay for victims whose triage level were red by START triage method or Care-Flight triage method was longer than whose triage levels were yellow. But the length of hospital stay for victims between the two triage levels had no significant difference. In addition, there was a correlation between critical victims and the length of 1CU stay in the classification of START triage method and Care-Flight triage method. Conclusion The length of ICU stay of the victims, whose triage level are red by START triage or Care-Flight triage methods, are longer than whose triage level are yellow. The levels of START and Care-Flight triage are correlated to length of ICU stay.

关 键 词：检伤分类 住院时间 ICU留置时间 地震伤员 

分 类 号：R641[医药卫生—外科学]