摘要
目的Sacco检伤分类法（STM）和adjusted—Sacco检伤分类法（adjusted—STM）是灾难现场检伤分类的新方法。但其准确性还缺乏证据支持。本课题旨在评估其在灾难群体伤患者转运死亡风险及总体死亡风险评估中的价值。方法纳入汶川地震数据库中汶川地震后1周内从地震现场直接转运至四川大学华西医院急诊科就诊的地震伤员l612例，分别通过SACCO捡伤分类法、adjusted—SACCO捡伤分类法和START检伤分类法将患者分类后，分别以转运途中或急诊室死亡、最终死亡为标准对以上检伤分类法制做受试者工作曲线（ROC曲线），计算曲线下面积，并与损伤严重度评分（ISS评分）进行相关性分析。结果最终纳入汶川地震数据库记录的1031名检伤分类非绿色的危重群体伤者。以转运途中或急诊死亡为标准，STM、adjusted—STM和START检伤分类法的ROC曲线下面积分别为0．721、0．714、0．649。以最终死亡为标准，STM、adjusted—STM和START检伤分类法的ROC曲线下面积分别为0．667、0．643、0．519。结论STM和adjusted—STM检伤分类法是在地震创伤检伤分类时的有效策略。
Objective To assess Sacco triage method （STM） and adjusted-Sacco triage method （adjusted-STM）. Methods A retrospective analysis was conducted on 1,612 patients who were transferred to the West China Hospital by assigning to different triage level by STM, adjusted-STM, and START, respectively. All the triage methods was evaluated based on death cases on either during transport or in the emergency department, using area under the receiver-operator curve （AUC）. Results For death during the transport and in the emergency department, AUC of three groups reflected as 0.721, 0.714, and 0.649. For death in a consequence, AUC of the three groups was revealed as 0.667, 0.643, and 0.519. Conclusion As an accurate triage methods, STM and adjusted-STM may be used in mass casualty incident, such as Wen-chuan earthquake.
出处
《中国急救复苏与灾害医学杂志》
2016年第10期949-952,共4页
China Journal of Emergency Resuscitation and Disaster Medicine
