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在院前环境中对护理人员判断与创伤分诊规则的前瞻性比较。

A prospective comparison of paramedic judgment and the trauma triage rule in the prehospital setting.

作者信息

Fries G R, McCalla G, Levitt M A, Cordova R

机构信息

Department of Emergency Medicine, Highland General Hospital, University of California at San Francisco, Oakland.

出版信息

Ann Emerg Med. 1994 Nov;24(5):885-9. doi: 10.1016/s0196-0644(94)70207-1.

DOI:10.1016/s0196-0644(94)70207-1

PMID:7978562

Abstract

STUDY OBJECTIVE

To study paramedic judgment and the Trauma Triage Rule in prehospital trauma triage.

DESIGN

Prospective.

SETTING

A county emergency medical services system.

PARTICIPANTS

Six hundred fifty-three trauma patients.

RESULTS

Over a 3-month period, 653 trauma patients were evaluated in the prehospital setting. Paramedic judgment and the Trauma Triage Rule (TTR), as described by Baxt, were evaluated for accuracy in identifying patients requiring trauma center care. The TTR achieved a sensitivity of 88% and a specificity of 86%. Paramedic judgment had a sensitivity of 91% and a specificity of 60%. Combining the TTR and paramedic judgment achieved a sensitivity of 100% and a specificity of 75%.

CONCLUSION

The TTR and paramedic judgment are effective in identifying patients who require trauma center care in the prehospital setting. The TTR and paramedic judgment combined have the greatest predictive value in identifying seriously injured patients.

摘要

研究目的

研究护理人员的判断以及院前创伤分诊中的创伤分诊规则。

设计

前瞻性研究。

地点

一个县的紧急医疗服务系统。

参与者

653名创伤患者。

结果

在3个月的时间里，对653名创伤患者进行了院前评估。评估了护理人员的判断以及由巴克斯特描述的创伤分诊规则（TTR）在识别需要创伤中心治疗的患者方面的准确性。TTR的敏感性为88%，特异性为86%。护理人员的判断敏感性为91%，特异性为60%。将TTR和护理人员的判断相结合，敏感性达到100%，特异性为75%。