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在急救服务中,老年创伤患者的死亡率预测因素
Hakan Hakkoymaz1, Muhammed Semih Gedik1, Ali İhsan Kilci2
1Kahramanmaraş Sütçü İmam University, Emergency Medicine - Kahramanmaraş, Turkey.
Revista da Associacao Medica Brasileira (1992)
|July 19, 2023
概括
这项研究比较了创伤评分系统,用于预测老年创伤患者的死亡率. 结果表明,格拉斯哥昏迷评分,修订创伤评分和创伤评分-伤害严重程度评分对于早期风险评估有价值.
科学领域:
- 老年人创伤研究研究
- 紧急医疗 紧急医疗
- 创伤评分系统创伤评分系统
背景情况:
- 老年创伤患者在预测结果方面存在独特的挑战.
- 已建立的创伤得分需要验证它们在这个人口群体中的有效性.
研究的目的:
- 为了比较五种创伤评分 (格拉斯哥昏迷评分,修订创伤评分,缩写伤害尺度,伤害严重程度评分和创伤评分-伤害严重程度评分) 对老年创伤患者死亡率的预测能力.
- 确定这些得分对老年创伤死亡率的个体预测值.
主要方法:
- 对人口统计数据,临床特征,病因学,实验室结果和创伤得分的统计分析.
- 使用Windows的SPSS 20进行数据评估.
主要成果:
- 在格拉斯哥昏迷评分,缩短伤害量表,伤害严重程度评分和创伤评分-伤害严重程度评分之间观察到相关性.
- 乳酸盐水平升高与缩略伤害量表和伤害严重性评分增加有关,并降低了修订创伤评分和创伤评分-伤害严重性评分.
- 重症监护病房的患者有较高的缩略伤害量和伤害严重性得分,以及较低的创伤评分-伤害严重性得分.
结论:
- 格拉斯哥昏迷评分,修订创伤评分,创伤评分-伤害严重程度评分,缩写伤害评分和伤害严重程度评分对于早期发现高风险老年创伤患者至关重要.
- 血中乳酸水平也是老年创伤的重要预后指标.
- 这些参数有助于评估急诊室中老年创伤患者的预后.
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