Kilberg L, Clemmer T P, Clawson J, Woolley F R, Thomas F, Orme J F
Department of Medicine, LDS Hospital, Salt Lake City, UT 84143.
J Trauma. 1988 Oct;28(10):1493-8. doi: 10.1097/00005373-198810000-00017.
A 9-month prospective study was conducted in Salt Lake County to evaluate the efficacy of a field trauma triage system using the CRAMS score. Before the triage system was implemented trauma victims were taken to the nearest appropriate hospital. Post-implementation, trauma victims with field CRAMS scores of 1 through 6 were triaged to the Level I Trauma Center. Of the 113 study patients, 53 were in the pre-implementation phase and 60 in the post-implementation phase. The study patients with CRAMS scores of 4 or less had lower mortality when cared for at the Level I Trauma Center (p = 0.013). We conclude that trauma patients who are severely injured (CRAMS less than or equal to 4) have a significantly higher rate of survival if taken to the Level I Trauma Center. The use of the CRAMS triage system appears to be an effective approach toward improving trauma care in Salt Lake County.
在盐湖县进行了一项为期9个月的前瞻性研究，以评估使用CRAMS评分的现场创伤分诊系统的疗效。在实施分诊系统之前，创伤受害者被送往最近的合适医院。实施后，现场CRAMS评分为1至6分的创伤受害者被分诊到一级创伤中心。在113名研究患者中，53名处于实施前阶段，60名处于实施后阶段。CRAMS评分为4分或更低的研究患者在一级创伤中心接受治疗时死亡率较低（p = 0.013）。我们得出结论，重伤（CRAMS小于或等于4）的创伤患者如果被送往一级创伤中心，其生存率会显著提高。使用CRAMS分诊系统似乎是改善盐湖县创伤护理的有效方法。
