格拉斯哥昏迷量表运动部分在创伤分诊中的效能。
Efficacy of the motor component of the Glasgow Coma Scale in trauma triage.
作者信息
Ross S E, Leipold C, Terregino C, O'Malley K F
机构信息
Department of Surgery, Cooper Health Systems, University of Medicine and Dentistry of New Jersey/Robert Wood Johnson Medical School, Camden, USA.
出版信息
J Trauma. 1998 Jul;45(1):42-4. doi: 10.1097/00005373-199807000-00008.
BACKGROUND
National guidelines recommend that patients with Glasgow Coma Scale (GCS) scores of less than 14 be triaged to trauma centers. We hypothesized that the motor component of the GCS (GCSM) would be equally sensitive as the total GCS in head injury triage.
METHODS
A 2-year retrospective review of 3,235 injured adults transported directly to a Level I trauma center.
RESULTS
One thousand four hundred ten patients (44%) had prehospital GCS scores recorded. GCSM was found to have a sensitivity of 0.90 for Abbreviated Injury Scale (AIS) score = 5 head injury and 0.61 for AIS score > 3 injury, whereas the GCS had sensitivities of 0.92 and 0.62, respectively (p = not significant). Specificities were equal at 0.85 for AIS score = 5 and 0.89 for AIS score > 3.
CONCLUSION
GCSM is equivalent to GCS for prehospital triage, and in view of its simplicity it should replace the GCS in triage schemes.
背景
国家指南建议，格拉斯哥昏迷量表（GCS）评分低于14分的患者应被分诊至创伤中心。我们假设，在头部损伤分诊中，GCS的运动部分（GCSM）与GCS总分具有同等的敏感性。
方法
对直接转运至一级创伤中心的3235名成年伤者进行为期2年的回顾性研究。
结果
1410名患者（44%）有院前GCS评分记录。发现GCSM对简明损伤定级（AIS）评分为5分的头部损伤敏感性为0.90，对AIS评分>3分的损伤敏感性为0.61，而GCS的敏感性分别为0.92和0.62（p=无显著性差异）。AIS评分为5分时特异性均为0.85，AIS评分>3分时特异性为0.89。
结论
GCSM在院前分诊中与GCS等效，鉴于其简单性，在分诊方案中应取代GCS。
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