Rhee K J, Fisher C J, Willitis N H
Am J Emerg Med. 1987 Jul;5(4):278-82. doi: 10.1016/0735-6757(87)90350-0.
The Rapid Acute Physiology Score (RAPS) was developed and tested for use as a severity scale in critical care transports. RAPS is an abbreviated version of the Acute Physiology and Chronic Health Evaluation (APACHE-II) using only parameters routinely available on all transported patients (i.e. pulse, blood pressure, respiratory rate, and Glasgow Coma Scale). RAPS has a range from 0 (normal) to 16. Two hundred eighty-three patients were transported by helicopter; 62 died. Pretransport RAPS was available on 282 of 283 patients (mean, 3.85; median, 3). Because of death, discharge, or transfer, 227 complete APACHE-II scores using least physiologic values for the first 24 hours after transfer were collected (mean, 14.98; median, 13). Stepwise logistic regression showed that when all APACHE-II and RAPS values were available, the best single predictor of mortality was worst value APACHE-II (X2(1) = 57.09, P less than .01). When pretransport RAPS was considered as a single explanatory variable, it too had significant predictive power for mortality (X2(1) = 92.53, P less than .01). Correlation analysis comparing RAPS with APACHE-II values at similar points in time revealed a significant relationship in all cases, with the highest correlation between RAPS worst values and APACHE-II worst values (r = .8472, P less than .01). It was concluded that RAPS can be applied usefully in complement with APACHE-II and may have limited utility when used alone.
快速急性生理学评分（RAPS）被开发并测试用于重症监护转运中的严重程度评估。RAPS是急性生理学与慢性健康状况评估（APACHE-II）的简化版本，仅使用所有转运患者常规可得的参数（即脉搏、血压、呼吸频率和格拉斯哥昏迷量表）。RAPS的范围为0（正常）至16。283例患者通过直升机转运；62例死亡。283例患者中有282例有转运前RAPS评分（均值为3.85；中位数为3）。由于死亡、出院或转院，收集了227例患者转院后最初24小时使用最低生理学值的完整APACHE-II评分（均值为14.98；中位数为13）。逐步逻辑回归显示，当所有APACHE-II和RAPS值都可用时，死亡率的最佳单一预测指标是APACHE-II最差值（X2(1)=57.09，P<0.01）。当将转运前RAPS视为单一解释变量时，它对死亡率也有显著的预测能力（X2(1)=92.53，P<0.01）。在相似时间点比较RAPS与APACHE-II值的相关分析显示，在所有情况下均存在显著关系，RAPS最差值与APACHE-II最差值之间的相关性最高（r = 0.8472，P<0.01）。得出的结论是，RAPS可与APACHE-II配合有效应用，单独使用时可能效用有限。
