开发和验证用于评估 triage 的并发症和脆弱性的 nomogram:一个多中心观测研究
Arian Zaboli1,2, Serena Sibilio3, Gabriele Magnarelli4,5
1Innovation, Research and Teaching Service (SABES-ASDAA), Teaching Hospital of the Paracelsus Medical Private University (PMU), Bolzano, Italy. zaboliarian@gmail.com.
Internal and emergency medicine
|April 11, 2024
概括
一种新的名图有效地识别了急诊室 (ED) 选期间的患者脆弱性和并发症,改善了患者的评估. 这种工具有助于对高风险个体进行分层,以获得更好的结果.
科学领域:
- 紧急医疗 紧急医疗
- 老年病的医生 老年病的医生
- 临床评估 临床评估
背景情况:
- 目前的脆弱性和并发性疾病评估工具对于急诊部 (ED) 的设置是不够的.
- 现有的工具没有针对紧急护理的动态性而设计,限制了它们的适应性.
研究的目的:
- 开发和内部验证一个名录,用于识别患者在分拣期间的脆弱程度.
- 为ED环境创建专门用于ED环境的工具,以改善患者分层.
主要方法:
- 这是一项多中心,前性,观察性研究,涉及两个ED的1345名患者.
- 数据收集包括并发病和慢性疾病,使用预定义的形式进行分离后.
- 测量的主要结局是90天死亡率.
主要成果:
- 与90天死亡率相关的关键因素包括查尔森并发症指数,改变的运动/认知状况,慢性疾病,救护车到达和最近住院.
- 开发的名图表显示出强大的内部有效性,接收器操作特征下的面积为0.91.1.
- 在ED分离的背景下,名图表在评估并发症和脆弱性方面被证明是有效的.
结论:
- 一个经过验证的nomogram可以准确地评估患者的脆弱性和伴随性疾病在ED triage.
- 实施这种工具可以增强患者分层,并可能改善护理途径.
- 这种名图为在紧急情况下早期识别易受伤害的患者提供了切实可行的解决方案.
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