Champion H R, Sacco W J, Hannan D S, Lepper R L, Atzinger E S, Copes W S, Prall R H
Crit Care Med. 1980 Apr;8(4):201-8. doi: 10.1097/00003246-198004000-00001.
Injury severity scales of proven reliability and validity are essential for the appropriate allocation of therapeutic resources, for prediction of outcome, and for evaluation of the quantity and quality of emergency medical care in differing facilities and over time. Quantitation of injury severity in the field is particularly necessary. Existing scales are too imprecise to permit comparisons of management or systems of care. In this paper, the authors present the Triage Index, a measure of injury severity based on five simple variables observed in a design data set of 1084 patients. The Triage Index has been developed with state-of-the-art multivariate statistical techniques, meets the requirements of an interval ranking scale, and has been both validated and assessed for interuser reliability. The Triage Index is proposed as a validated system of early, rapid, noninvasive, accurate patient assessment permitting appropriate matching of trauma victims with available therapeutic resources as a means of reducing mortality and morbidity.
经证实具有可靠性和有效性的损伤严重程度量表对于合理分配治疗资源、预测预后以及评估不同医疗机构在不同时间的急诊医疗服务的数量和质量至关重要。在现场对损伤严重程度进行量化尤为必要。现有的量表不够精确，无法对治疗管理或护理系统进行比较。在本文中，作者提出了分诊指数，这是一种基于在1084例患者的设计数据集中观察到的五个简单变量的损伤严重程度测量方法。分诊指数是采用最先进的多变量统计技术开发的，符合区间排名量表的要求，并且已经过验证和评估其使用者间的可靠性。分诊指数被提议作为一种经过验证的早期、快速、无创、准确的患者评估系统，通过使创伤受害者与可用治疗资源进行适当匹配，以降低死亡率和发病率。
