测量急诊普通外科疾病的解剖严重程度。
Measuring anatomic severity of disease in emergency general surgery.
机构信息
From the Institute for Health Care Research and Improvement (S.S.), Baylor Health Care System, Dallas; and Department of Trauma Service (C.V.-R.B.), University Medical Center Brackenridge, Austin, Texas; Department of Surgery (M.A.), Virginia Commonwealth University Medical Center, Richmond, Virginia; Department of Surgery (D.C), Morsani College of Medicine, University of South Florida, Tampa, Florida; Department of Surgery (M.J.C.), University of California, San Francisco; and Department of Surgery (K.I.), Keck School of Medicine of University of Southern California, Los Angeles, California; Departments of Surgery-Trauma/Critical Care and Preventive Medicine (M.L.C.), Northwestern University Feinberg School of Medicine, Chicago, Illinois; and Department of General Surgery (P.R.M., N.T.M.), Wake Forest Baptist Health, Winston-Salem, North Carolina.
出版信息
J Trauma Acute Care Surg. 2014 Mar;76(3):884-7. doi: 10.1097/TA.0b013e3182aafdba.
BACKGROUND
Currently, there is no established system for assessing disease severity in emergency general surgery (EGS) patients. The purpose of this project was to develop a uniform grading system for measuring anatomic severity of disease in this patient population.
METHODS
The Committee on Patient Assessment and Outcomes of the American Association for the Surgery of Trauma developed a proposal by consensus of experts for grading severity of EGS diseases. It was then reviewed and approved by the Board of Managers of the American Association for the Surgery of Trauma.
RESULTS
A uniform grading system for measuring anatomic severity of disease in EGS is described, with specific grades for eight commonly encountered gastrointestinal conditions. These grades range from Grade I through Grade V, reflecting an escalating clinical progression from mild disease limited within the organ itself to severe disease that is widespread.
CONCLUSION
This article provides a unified grading system for measuring anatomic severity of disease that is essential to advance the science of EGS. Once validated, a description of disease grade should be included in the emerging EGS registries and in research studies involving EGS patients.
背景
目前，尚无针对急诊普通外科（EGS）患者疾病严重程度的评估系统。本项目旨在为该患者人群制定一种用于衡量解剖严重程度的统一分级系统。
方法
美国创伤外科学会患者评估和结局委员会通过专家共识制定了一项 EGS 疾病严重程度分级提案。该提案随后经过美国创伤外科学会理事会的审查和批准。
结果
本文描述了一种用于衡量 EGS 疾病解剖严重程度的统一分级系统，其中包括八种常见的胃肠道疾病的具体分级。这些分级从 I 级到 V 级，反映了疾病从局限于器官本身的轻度进展到广泛的重度疾病的临床进展。
结论
本文提供了一种用于衡量疾病解剖严重程度的统一分级系统，这对于推进 EGS 科学至关重要。一旦得到验证，疾病分级的描述应纳入新兴的 EGS 登记处和涉及 EGS 患者的研究中。
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