快速急诊医学评分可预测非手术急诊科患者的长期死亡率。
Rapid Emergency Medicine Score can predict long-term mortality in nonsurgical emergency department patients.
作者信息
Olsson Thomas, Terent Andreas, Lind Lars
机构信息
Research and Development Unit, Department of Internal Medicine, Ostersund Hospital, SE-831 83 Ostersund, Sweden.
出版信息
Acad Emerg Med. 2004 Oct;11(10):1008-13. doi: 10.1197/j.aem.2004.05.027.
OBJECTIVES
To examine the Rapid Emergency Medicine Score (REMS) as a predictor of long-term (4.7 years) mortality in the nonsurgical emergency department (ED).
METHODS
This was a prospective cohort study. A total of 12,006 nonsurgical patients consecutively presenting to an adult ED at a 1,200-bed university hospital during a period of one year were enrolled. REMS (including blood pressure, respiratory rate, pulse rate, Glasgow Coma Scale score, peripheral oxygen saturation, and patient age) was calculated for all patients admitted to the ED. The statistical associations between REMS and long-term mortality were examined.
RESULTS
REMS could predict mortality over 4.7 years (hazard ratio, 1.26; p < 0.0001). Similar results were obtained in the major patient groups (chest pain, stroke, coma, dyspnea, and diabetes).
CONCLUSIONS
REMS was a powerful predictor of long-term mortality in patients attending the ED for a wide range of common nonsurgical disorders.
目的
研究快速急诊医学评分（REMS）作为非手术急诊科（ED）长期（4.7年）死亡率预测指标的情况。
方法
这是一项前瞻性队列研究。在一年时间里，连续纳入了一所拥有1200张床位的大学医院成人急诊科的12006例非手术患者。为所有入住急诊科的患者计算REMS（包括血压、呼吸频率、脉搏率、格拉斯哥昏迷量表评分、外周血氧饱和度和患者年龄）。研究了REMS与长期死亡率之间的统计学关联。
结果
REMS能够预测4.7年以上的死亡率（风险比，1.26；p<0.0001）。在主要患者群体（胸痛、中风、昏迷、呼吸困难和糖尿病）中也得到了类似结果。
结论
对于因多种常见非手术疾病就诊于急诊科的患者，REMS是长期死亡率的有力预测指标。
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