评分系统的比较,以识别患有创伤性肋骨骨折风险增加的患者
Jonathan Henglein1, Elysa Margiotta1, Isaac E Wenger1
1Northwell Health, New Hyde Park, New York; Department of Surgery at Zucker School of Medicine, Northwell, Manhasset, New York.
The Journal of surgical research
|November 25, 2024
概括
修改后的疼痛,鼓舞力,咳 (mPIC) 评分有效地识别了患有肋骨骨折的患者,这些患者有更高的ICU入院和长时间住院的风险. 这种可在床边评估的得分显示了与RibScore的高度一致,有助于临床决策.
科学领域:
- 创伤外科 手术 创伤外科
- 关键护理医学 关键护理医学
- 肺部医学 肺部医学
背景情况:
- 由于创伤造成的肋骨骨折增加了发病率,死亡率和资源利用率 (例如,ICU停留,机械通风).
- 准确的患者分层对于管理严重并发症至关重要.
- 像RibScore这样的现有评分系统有助于风险评估,但需要更简单的床边工具.
研究的目的:
- 为了比较修改的疼痛,鼓舞力,咳 (mPIC) 评分与创伤性肋骨骨折患者分层的既定RibScore的疗效.
- 为了确定mPIC得分是否可以预测ICU入院,入院时间 (LOS) 和输管率.
主要方法:
- 对创伤性肋骨骨折患者 (2018-2022) 的回顾性审查.
- 收集了有关人口统计,止痛,神经阻塞和动员的数据.
- 计算了mPIC和RibScores;mPIC分数<5表明需要接受ICU治疗.
- 主要结局:整体和ICU LOS;次要结局:输管率.
主要成果:
- 与mPIC ≥5.5相比,mPIC分数<5显著增加了ICU和整体LOS,输管率和ICU入院率.
- 一个RibScore的4-6也显示了统计学上显著增加的LOS,输管和ICU入院率.
- 这两种评分系统的同意率为88.7%.
结论:
- 无论mPIC还是RibScores都有效地根据风险对患有创伤性肋骨骨折的患者进行分层.
- 由于其易于临床医生在床边应用,mPIC评分提供了一个优势.
- mPIC评分有助于早期识别高风险患者,改善处置和管理.
关键词:
修改的PIC分数得到了修改.在PIC中获得的分数是PIC分数.肋骨骨折得分系统 肋骨骨折得分系统肋骨骨折 肋骨骨折 肋骨骨折 肋骨骨折 肋骨骨折这就是RibScore的RibScore.肋骨骨折严重程度的风险因素 肋骨骨折的严重程度的风险因素在mPIC分数中获得的分数是mPIC.更多相关视频
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