Keim Samuel M, Spaite Daniel W, Maio Ronald F, Garrison Herbert G, Desmond Jeffrey S, Gregor Mary Ann, O'malley Patricia J, Stiell Ian G, Cayten C Gene, Chew John L, Mackenzie Ellen J, Miller David R
Arizona Emergency Medicine Research Center, Department of Emergency Medicine, University of Arizona, 1501 North Campbell, Tucson, AZ 85724, USA.
Acad Emerg Med. 2004 Oct;11(10):1074-81. doi: 10.1197/j.aem.2004.03.010.
The purpose of the Emergency Medical Services Outcomes Project (EMSOP) is to develop a foundation and framework for out-of-hospital outcomes research. In prior work, this group delineated the priority conditions, described conceptual models, suggested core and risk adjustment measures potentially useful to emergency medical services research, and summarized out-of-hospital pain measurement. In this fifth article in the EMSOP series, the authors recommend specific risk-adjustment measures and outcome measures for use in out-of-hospital research on patients presenting with respiratory distress. The methodology included systematic literature searches and a structured review by an expert panel. The EMSOP group recommends use of pulse oximetry, peak expiratory flow rate, and the visual analog dyspnea scale as potential risk-adjustment measures and outcome measures for out-of-hospital research in patients with respiratory distress. Furthermore, using mortality as an outcome measure is also recommended. Future research is needed to alleviate the paucity of validated tools for out-of-hospital outcomes research.
紧急医疗服务结果项目（EMSOP）的目的是为院外结果研究建立一个基础和框架。在之前的工作中，该小组确定了优先处理的病症，描述了概念模型，提出了可能对紧急医疗服务研究有用的核心及风险调整措施，并总结了院外疼痛测量方法。在EMSOP系列的第五篇文章中，作者推荐了用于对出现呼吸窘迫患者进行院外研究的特定风险调整措施和结果指标。该方法包括系统的文献检索和专家小组的结构化审查。EMSOP小组建议将脉搏血氧饱和度、呼气峰值流速和视觉模拟呼吸困难量表作为对呼吸窘迫患者进行院外研究的潜在风险调整措施和结果指标。此外，还建议将死亡率作为结果指标。需要开展进一步研究以缓解院外结果研究中有效工具匮乏的问题。
