在地震相关的压伤中,SAFE QUAKE和透析得分的外部验证和比较
Suleyman Alpar1, Sarper Yilmaz2,3, Çağrı Safa Buyurgan4
1Faculty of Medicine, İstanbul Beykent University, Istanbul, Turkey.
BMC emergency medicine
|August 20, 2025
概括
功能地震评估以排除透析需求 (SAFE-QUAKE) 的得分更好地排除了大规模伤亡事件中的透析需求. 当资源可用时,透析分数更有效地识别可能需要透析的患者.
科学领域:
- 紧急医疗
- 肝脏病学
- 灾难医疗
背景情况:
- 像土耳其地震这样的灾难性事件对应急部门构成挑战.
- 精确评估透析需求对于患者管理和资源分配至关重要.
- 两种评分系统SAFE-QUAKE和透析评分,用于预测压伤患者的透析需求.
研究的目的:
- 为了比较SAFE-QUAKE评分和透析评分的预测准确性.
- 评估这些分数在大规模伤亡事件后对受压伤患者进行分类时的有用性.
- 根据医疗机构的能力来确定每个分数的最佳使用.
主要方法:
- 追溯观察性研究设计.
- 使用大学医院的数据评估SAFE-QUAKE和透析评分.
- 包括2月6日土耳其地震后入院的患者.
主要成果:
- 在排除透析时,SAFE- QUAKE的负预测值 (NPV) 高达93. 4%.
- 透析评分显示了71. 0%的优异正预测值 (PPV).
- 在接受器操作特征曲线 (AUROC) 下,SAFE- QUAKE的面积较高,为0. 894,表明整体预测性能更好,特别是在正确识别不需要透析的患者时.
结论:
- 在转移到没有透析能力的设施时,SAFE-QUAKE对于识别低风险透析患者是有价值的.
- 透析分数有助于优先考虑可能需要透析的患者在有资源的中心.
- 顺序使用SAFE-QUAKE进行初始分类和透析得分来改进决策,可以提高灾难场景的准确性.
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