用于改善机动车碰撞受害者院前分诊的现场评分
The SceneScore for improved pre-hospital triage of motor-vehicle crash victims.
作者信息
Schulman C I, Wilbur V, Leibowitz B, Labiste L, Perdeck E, Bahouth G, Digges K, Augenstein J S
机构信息
William Lehman Injury Research Center, University of Miami - Miller School of Medicine, DeWitt Daughtry Family Department of Surgery, Miami, Florida, USA.
出版信息
Annu Proc Assoc Adv Automot Med. 2007;51:49-60.
The SceneScore is a simple mechanism of injury scoring system designed to facilitate the appropriate triage of crash victims. It comprises 7 variables including age, collision type, impact location, airbag deployment, steering wheel deformity, intrusion, and restraint use. A cutoff value of 7 or 8 provides the maximum balance between sensitivity and specificity, with sensitivities of 75% to 83% and specificities of 29% to 46%. For cases triaged to the trauma center based only on high suspicion of injury, the SceneScore reduces the overtriage rate by almost half. Proper application of the SceneScore may lead to improved triage and enhanced communication of mechanism of injury criteria.
现场评分是一种简单的损伤评分系统机制，旨在促进对车祸受害者进行适当的分诊。它包括7个变量，即年龄、碰撞类型、撞击位置、安全气囊展开情况、方向盘变形、车辆侵入情况和安全带使用情况。7分或8分的临界值在敏感性和特异性之间提供了最大平衡，敏感性为75%至83%，特异性为29%至46%。对于仅基于高度怀疑受伤而分诊到创伤中心的病例，现场评分可将过度分诊率降低近一半。正确应用现场评分可能会改善分诊，并加强损伤机制标准的沟通。
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