Yale University, School of Medicine, 367 Cedar Street, New Haven, CT 06510, USA.
Emerg Med J. 2012 Nov;29(11):882-6. doi: 10.1136/emermed-2011-200619. Epub 2011 Dec 20.
Ninety percent of emergency incidents occur in developing countries, and this is only expected to get worse as these nations develop. As a result, governments in developing countries are establishing emergency care systems. However, there is currently no widely-usable, objective method to monitor or research the rapid growth of emergency care in the developing world.
Analysis of current quantitative methods to assess emergency care in developing countries, and the proposal of a more appropriate method.
Currently accepted methods to quantitatively assess the efficacy of emergency care systems cannot be performed in most developing countries due to weak record-keeping infrastructure and the inappropriateness of applying Western derived coefficients to developing country conditions. As a result, although emergency care in the developing world is rapidly growing, researchers and clinicians are unable to objectively measure its progress or determine which policies work best in their respective countries. We propose the TEWS methodology, a simple analytical tool that can be handled by low-resource, developing countries.
By relying on the most basic universal parameters, simplest calculations and straightforward protocol, the TEWS methodology allows for widespread analysis of emergency care in the developing world. This could become essential in the establishment and growth of new emergency care systems worldwide.
90%的紧急事件发生在发展中国家，随着这些国家的发展，这种情况预计只会变得更糟。因此，发展中国家的政府正在建立紧急护理系统。然而，目前还没有广泛使用的、客观的方法来监测或研究发展中国家紧急护理的快速增长。
分析目前用于评估发展中国家紧急护理的定量方法，并提出一种更合适的方法。
由于记录保存基础设施薄弱，以及将西方得出的系数应用于发展中国家的条件不适当，目前用于定量评估紧急护理系统效果的方法在大多数发展中国家都无法实施。因此，尽管发展中国家的紧急护理正在迅速发展，但研究人员和临床医生无法客观地衡量其进展，也无法确定哪些政策在各自国家最有效。我们提出了 TEWS 方法，这是一种简单的分析工具，资源匮乏的发展中国家也可以使用。
TEWS 方法依靠最基本的通用参数、最简单的计算和直接的方案，可以广泛分析发展中国家的紧急护理情况。这对于在全球范围内建立和发展新的紧急护理系统可能至关重要。
