快速急性生理评分与快速急诊内科评分对院前急救潜在危重患者病情评估及预后的临床意义
摘要
目的探讨应用快速急性生理评分(RAPS)与快速急诊内科评分(REMS)对院前急救潜在危重患者进行病情评估和预后分析的可行性及适用性。方法对院前急救的300例潜在危重患者分别进行RAPS和REMS评分,追踪患者去向和预后,并比较2种评分系统与"120"院前急救潜在危重患者预后评价的灵敏度、特异度及评分之间的关联性。结果 RAPS和REMS评分分值越高,"120"院前急救潜在危重患者死亡危险率越高,各分组间病死率比较差异均有统计学意义(P<0.05)。随着RAPS和REMS评分分值的升高,患者被收入ICU病房的概率也随之增加,且各组分值间病死率均有统计学意义。针对"120"院前急救潜在危重患者收入急诊留观病房、专科病房和ICU病房的灵敏度及特异度,RAPS与REMS评分系统相比,差异无统计学意义(P>0.05)。结论 REMS和RAPS 2种评分系统均能对"120"院前急救潜在危重患者病情做出初步的预后,适用于"120"院前急救潜在危重患者的早期危重评估及预后评估。
引文
[1]王秋萍.改良早期预警评分在院前急救患者病情评估中的应用[J].齐鲁护理杂志,2016,22(15):111-112.
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[3]Olsson T,Terent A,Lind L.Rapid emergency medicine score:a new prognostic tool for in-hospital mortality in nonsurgical emergency department patients[J].Journal of Internal Medicine,2004,255(5):579-587.
[4]Olsson T,Lind L.Comparison of the rapid emergency medicine score and APACHEII in nonsurgical emergency department patients[J].Academic Emergency Medicine,2003,10(10):1040-1048.
[5]何钰熙,管癸芬,谢佩玲.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[J].临床医学工程,2015,22(5):662-663.
[6]王常永,周青山.改良早期预警评分方法的临床应用进展[J].中华急诊医学杂志,2011,11(7):429.
[7]任艺,邵旦兵,刘红梅,等.简单临床评分在急诊抢救室中的应用价值[J].中华急诊医学杂志,2012,21(9):1012-1015.
[8]范从华,吕虎,王舫,等.4种评分系统评估院前急救患者病情及预后的价值的比较研究[J].感染、炎症、修复,2017,18(1):49-52.
[9]刘丹,吉春玲.改良院前急救护理分层评分在院前急救医学中的临床应用价值[J].医药前沿,2017,7(2):256-258.
[10]Recknagel S,Bindl R,Wehner T,et al.Conversion from external fracture healing in a severe trauma model[J].Journal of Orthopaedic Research,2013,31(3):465-471.
[11]Ghanem Zoubi NO,Vardi M,Laor A,et al.Assessment of disease-severity scoring systems for patients with sepsis in general internal medicine departments[J].Critical Care,2011,15(2):95.
[12]Hargrove J,Nguyen HB.Bench-to-bedside review:outcome predictions for critically ill patients in the emergency department[J].Critical Care,2005,9(4):376-383.
[2]Levy MM,Fink MP,Marshall JC,et al.2001 SCCM/ESICM/ACCP/ATS/SIS international sepsis definitions conference[J].Intensive Care Medicine,2003,29(4):530-538.
[3]Olsson T,Terent A,Lind L.Rapid emergency medicine score:a new prognostic tool for in-hospital mortality in nonsurgical emergency department patients[J].Journal of Internal Medicine,2004,255(5):579-587.
[4]Olsson T,Lind L.Comparison of the rapid emergency medicine score and APACHEII in nonsurgical emergency department patients[J].Academic Emergency Medicine,2003,10(10):1040-1048.
[5]何钰熙,管癸芬,谢佩玲.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[J].临床医学工程,2015,22(5):662-663.
[6]王常永,周青山.改良早期预警评分方法的临床应用进展[J].中华急诊医学杂志,2011,11(7):429.
[7]任艺,邵旦兵,刘红梅,等.简单临床评分在急诊抢救室中的应用价值[J].中华急诊医学杂志,2012,21(9):1012-1015.
[8]范从华,吕虎,王舫,等.4种评分系统评估院前急救患者病情及预后的价值的比较研究[J].感染、炎症、修复,2017,18(1):49-52.
[9]刘丹,吉春玲.改良院前急救护理分层评分在院前急救医学中的临床应用价值[J].医药前沿,2017,7(2):256-258.
[10]Recknagel S,Bindl R,Wehner T,et al.Conversion from external fracture healing in a severe trauma model[J].Journal of Orthopaedic Research,2013,31(3):465-471.
[11]Ghanem Zoubi NO,Vardi M,Laor A,et al.Assessment of disease-severity scoring systems for patients with sepsis in general internal medicine departments[J].Critical Care,2011,15(2):95.
[12]Hargrove J,Nguyen HB.Bench-to-bedside review:outcome predictions for critically ill patients in the emergency department[J].Critical Care,2005,9(4):376-383.