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查工具危险评分评估在28天死亡率的老年人急诊室 (S-TRIAGE)

Praphaphorn Supatanakij¹, Kanruethai Imok¹, Karn Suttapanit²

¹Department of Emergency Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Rd., Ratchathewi, Bangkok, 10400, Thailand.

International journal of emergency medicine

|September 26, 2023

概括

一个新的S-TRIAGE得分有效预测28天死亡率和需要救命干预的老年急诊室患者. 该工具有助于识别高风险的老年人,以便及时提供护理.

科学领域:

老年急救医学的医学
临床选工具临床选工具
在医疗保健中的预测建模.

背景情况:

越来越多的脆弱的老年人在急诊室 (ED) 面临着重大选挑战.
老年人的生理变化和并发症使准确的风险评估变得复杂.
需要有效的工具来预测老年ED患者的死亡率和指导干预措施.

研究的目的:

确定预测老年ED患者28天死亡率的变量.
开发和验证用于预测死亡率和需要救命干预的查工具.
改善对高风险老年人的分拣和护理.

主要方法:

在ED中,对65岁以上的患者进行了回顾性,单中心的观察性研究.
发展队列使用单变量和多变量逻辑回归来确定死亡率预测因素.
开发了一个预测模型 (S-TRIAGE评分),并进行了内部验证.

主要成果:

1393名患者被录取;在发育队列中,10.3%的患者在28天内死亡.
死亡的独立风险因素包括恶性瘤,冲击指数 (SI),低收缩血压 (SBP) 和心态变化.
在S-TRIAGE得分中,死亡率和救命干预措施的预测性表现良好 (AUC 0.826).

结论:

恶性病,低血压,升高的SI和精神状态变化是老年ED患者28天死亡率的关键预测因素.
开发的S-TRIAGE评分是预测高风险老年人群死亡率和救命干预措施的潜在有效工具.
这一分数可以帮助优化老年患者的紧急护理.

关键词:

老年病的医生老年病的医生拯救生命的干预措施可以挽救生命.死亡率死亡率死亡率测量三级是什么意思

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