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病人危险度评分在急诊的应用 被引量:3

Application of Patient Risk Scores in the Emergency Department
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摘要 目的:评价危险度评分在急诊临床工作中的应用价值和可行性。方法:设计急诊病人危险度评分调查表,以24小时内来急诊就诊的所有病人为观察对象,在初次就诊和就诊后15分钟分别记录所需参数并进行评分和统计。结果:共纳入272例病例,初次评分和二次评分与患者急诊诊断的病情危重度有良好的相关性(相关系数分别为0·486和0·518)。结论:危险度评分在急诊病人的分拣和病情变化评估上具有一定的临床价值。 Objective: To assess the value and feasibility of using a patient at risk (PAR) scoring syste,n in the emergency department. Methods: PAR scores were calculated for all the patients in one clay on arrival in the department and at 15 minutes after the initial resuscitation was underway using observation datasheets designed for this project. Result: 272 patients' parameter were collected and the PAR scores significantly correlated with the patients' condition (r = 0.486 on arrival, r = 0.518 at 15 minutes after resuscitation). Conclusion: The PAR scores not only could be used in the triage of emergency patients, but also could be used in evaluating the change of patient's condition in emergency department.
出处 《华西医学》 CAS 2006年第4期726-727,共2页 West China Medical Journal
关键词 危险度评分 急诊 risk score emergency
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参考文献7

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  • 1焦溥蕙.冠心病的预防策略[J].中国老年学杂志,2005,25(7):860-863. 被引量:30
  • 2Palmer R.Using an early warming system in a medical assessment unit Nurse Times,2004,100(48):34-35.
  • 3Buist D,Moore G,Bemard S,et al.Effects of a medical emergency team on the reduction of incidence of and mortality from unexpected cardiac arrests in hospital:preliminary review[J] BMI,2002,324(7334):387-390.
  • 4Corey R.Heitz,John P.Gaillard,HowardBlumstein,DougCase,CatherineMessick,Chadwick D.Miller.Performance of the maximum modified early warning score to predict the need for higher care utilization among admitted emergency department patients[J].J Hosp Med.2010(1)
  • 5任艺,邵旦兵,刘红梅,张炜,许宝华,唐文杰,钱健,杨志洲,孙宝迪,孙琳,聂时南.简单临床评分在急诊抢救室中的应用价值[J].中华急诊医学杂志,2012,21(9):1012-1015. 被引量:34

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