Value of Three Trauma Scaling Systems in Predicting Death for Patients in Mass Casualties_West China Medical Journal

Authors：

CHEN Xiaohong ,  HU Hai , CAO Yu.

Department of Emergency, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

HU Hai, Email: 492550263@qq.com

Keywords：

群体伤; 修正创伤评分; CRAMS评分; 院前伤情评分

DOI：

10.7507/1002-0179.20130417

Video：

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目的　探讨修正创伤评分（RTS）、CRAMS评分及院前伤情评分（PHI）对于群体伤患者死亡的评估作用。方法　回顾性分析2011年8月－2012年8月就诊且记录完整的45例群体伤患者的病历资料，根据病历记录计算RTS、CRAMS及PHI评分，并记录患者是否死亡。绘制受试者工作特征曲线并计算出曲线下面积；根据约登指数筛选出各个评分适宜的截断值，据此计算3种创伤评分的灵敏度、特异度、阳性似然比、阴性似然比、阳性预测值、阴性预测值并进行比较。将患者按照性别、年龄分为亚组进行对比分析。结果　RTS曲线下面积最大，且与参考线下面积对比差异有统计学意义（P=0.016），与另外两种评分比较其差异有统计学意义。结论　RTS较CRAMS及PHI评分对于群体伤患者死亡预测具有更高的价值。

Citation： CHEN Xiaohong,HU Hai,CAO Yu.. Value of Three Trauma Scaling Systems in Predicting Death for Patients in Mass Casualties. West China Medical Journal, 2013, 28(9): 1329-1332. doi: 10.7507/1002-0179.20130417 Copy

1.	刘君, 王杰. 突然群体伤患者救治伤程序的探讨[J]. 实用心脑肺血管病杂志, 2010, 18(8): 1156.
2.	丁家周, 易书贵, 蔡浩, 等. 道路交通事故成批伤员的救治[J]. 当代医师杂志, 1996, 8(8): 55-56.
3.	Gilpin DA, Nelson PG. Revised trauma score: a triage tool in the accident and emergency department[J]. Injury, 1991, 22(1): 35-37.
4.	Sloan EP, Koenigsberg M, Clark JM, et al. The use of the Revised Trauma Score as an entry criterion in traumatic hemorrhagic shock studies: data from the DCLHb clinical trials[J]. Prehosp Disaster Med, 2012, 27(4): 330-344.
5.	Ornato J, Mlinek EJ, Craren EJ, et al. Ineffectiveness of the trauma score and the CRAMS scale for accurately triaging patients to trauma centers[J]. Ann Emerg Med, 1985, 14(11): 1061-1064.
6.	Gray A, Goyder EC, Goodacre SW, et al. Trauma triage: a comparison of CRAMS and TRTS in a UK population[J]. Injury, 1997, 28(2): 97-101.
7.	余翎. ISS与CRAMS创伤评分法在急诊多发伤中的应用[J]. 现代实用医学, 2004, 16(2): 99, 101.
8.	Lavoie A, Emond M, Moore L, et al. Evaluation of the prehospital index, presence of high-velocity impact and judgment of emergency medical technicians as criteria for trauma triage[J]. CJEM, 2010, 12(2): 111-118.
9.	Watts HF, Kerem Y, Kulstad EB. Evaluation of the revised trauma and injury severity scores in elderly trauma patients[J]. J Emerg Trauma Shock, 2012, 5(2): 131-134.
10.	Eichelberger MR, Gotschall CS, Sacco WJ, et al. A comparison of the trauma score, the revised trauma score, and the pediatric trauma score[J]. Ann Emerg Med, 1989, 18(10): 1053-1058.
11.	李宁, 杨健, 石应康, 等. 院前RTS评分促进早期医疗介入提高院前急救质量的探讨[J]. 川北医学院学报, 2003, 18(4): 4-6.
12.	Ahmad HN. Evaluation of revised trauma score in polytraumatized patients[J]. J Coll Physicians Surg Pak, 2004, 14(5): 286-289.

1. 　刘君, 王杰. 突然群体伤患者救治伤程序的探讨[J]. 实用心脑肺血管病杂志, 2010, 18(8): 1156.
2. 　丁家周, 易书贵, 蔡浩, 等. 道路交通事故成批伤员的救治[J]. 当代医师杂志, 1996, 8(8): 55-56.
3. 　Gilpin DA, Nelson PG. Revised trauma score: a triage tool in the accident and emergency department[J]. Injury, 1991, 22(1): 35-37.
4. 　Sloan EP, Koenigsberg M, Clark JM, et al. The use of the Revised Trauma Score as an entry criterion in traumatic hemorrhagic shock studies: data from the DCLHb clinical trials[J]. Prehosp Disaster Med, 2012, 27(4): 330-344.
5. 　Ornato J, Mlinek EJ, Craren EJ, et al. Ineffectiveness of the trauma score and the CRAMS scale for accurately triaging patients to trauma centers[J]. Ann Emerg Med, 1985, 14(11): 1061-1064.
6. 　Gray A, Goyder EC, Goodacre SW, et al. Trauma triage: a comparison of CRAMS and TRTS in a UK population[J]. Injury, 1997, 28(2): 97-101.
7. 　余翎. ISS与CRAMS创伤评分法在急诊多发伤中的应用[J]. 现代实用医学, 2004, 16(2): 99, 101.
8. 　Lavoie A, Emond M, Moore L, et al. Evaluation of the prehospital index, presence of high-velocity impact and judgment of emergency medical technicians as criteria for trauma triage[J]. CJEM, 2010, 12(2): 111-118.
9. 　Watts HF, Kerem Y, Kulstad EB. Evaluation of the revised trauma and injury severity scores in elderly trauma patients[J]. J Emerg Trauma Shock, 2012, 5(2): 131-134.
10. 　Eichelberger MR, Gotschall CS, Sacco WJ, et al. A comparison of the trauma score, the revised trauma score, and the pediatric trauma score[J]. Ann Emerg Med, 1989, 18(10): 1053-1058.
11. 　李宁, 杨健, 石应康, 等. 院前RTS评分促进早期医疗介入提高院前急救质量的探讨[J]. 川北医学院学报, 2003, 18(4): 4-6.
12. 　Ahmad HN. Evaluation of revised trauma score in polytraumatized patients[J]. J Coll Physicians Surg Pak, 2004, 14(5): 286-289.

West China Medical Journal

Value of Three Trauma Scaling Systems in Predicting Death for Patients in Mass Casualties

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