Bertollo S, Rodenberg H
University of Florida College of Medicine, Gainesville.
Air Med J. 1994 Mar;13(3):91-5. doi: 10.1016/s1067-991x(05)80299-8.
The Rapid Acute Physiology Score (RAPS) has been applied to patients transported by air, but not correlated with commonly used prehospital indices. The authors desired to determine the correlation between RAPS and Revised Trauma Score (RTS). Correlations between RAPS and RTS in patients with non-trauma ills were also investigated.
Eight-hundred forty-four consecutive patients transported by helicopter were retrospectively evaluated. Demographics, origin of transport, nature of illness, RTS and RAPS were recorded. RTS vs. RAPS scores were graphed using sunflower technique and correlation was calculated using Spearman Rank-Order Correlation Coefficients (SCC). Alpha was set at < or = .05.
Sunflower plots revealed wide ranges of RAPS at like RTS values in less severely ill or injured patients. SCC analysis revealed statistically significant (p < .05) correlations for all patients and for subgroups of prehospital trauma, prehospital medical, interfacility trauma and interfacility medical patients. Degrees of correlation varied between groups, with agreement being strongest in prehospital trauma and weakest in interfacility trauma patients.
We conclude that RTS and RAPS scores exhibit significant correlation in a variety of patient populations. The wide range of RAPS seen at like RTS values suggests that RAPS may be a more sensitive indicator of physiologic status in patients transported by air.
快速急性生理学评分（RAPS）已应用于空中转运的患者，但与常用的院前指标无相关性。作者希望确定RAPS与修订创伤评分（RTS）之间的相关性。还研究了非创伤性疾病患者中RAPS与RTS之间的相关性。
对844例连续由直升机转运的患者进行回顾性评估。记录人口统计学资料、转运起点、疾病性质、RTS和RAPS。使用向日葵技术绘制RTS与RAPS评分的图表，并使用Spearman等级相关系数（SCC）计算相关性。α设定为≤0.05。
向日葵图显示，病情较轻或受伤较轻的患者在相同RTS值时RAPS范围较广。SCC分析显示，所有患者以及院前创伤、院前医疗、机构间创伤和机构间医疗患者亚组均存在统计学显著相关性（p<0.05）。不同组之间的相关程度不同，院前创伤患者的一致性最强，机构间创伤患者的一致性最弱。
我们得出结论，RTS和RAPS评分在各种患者群体中均表现出显著相关性。在相同RTS值时观察到的RAPS范围较广表明，RAPS可能是空中转运患者生理状态更敏感的指标。
