冲击指数作为约旦多重创伤患者输血或手术干预的指标
Liqaa Raffee1, Khaled Alawneh2, Wasfi Al-Salaita3
1Department of Accident and Emergency Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Journal of medicine and life
|September 2, 2025
概括
冲击指数 (SI) 有效地预测了创伤患者的不良结果. 升高的SI表明血液动力学不稳定,指导快速评估和改善紧急护理的分类决策.
科学领域:
- 紧急医疗
- 创伤护理
- 临床评估
背景情况:
- 创伤是全球死亡的主要原因, 失控出血是可预防死亡的重要因素.
- 早期准确评估创伤严重程度对于有效的患者治疗和改善生存率至关重要.
研究的目的:
- 评估冲击指数 (SI) 在预测创伤患者临床结果中的诊断效用.
- 确定SI升高是否与创伤病例的不良事件和更差的预后相关.
主要方法:
- 在约旦阿卜杜拉国王大学医院接受治疗的122名创伤患者的回顾性分析.
- 患者分为正常 (SI < 0. 9) 和高 (SI > 0. 9) 的两组.
- 两组之间的临床结果比较,包括干预,输血和神经状态.
主要成果:
- 患有SI升高的患者表现出明显较差的神经结果 (17%对1. 1%,P< 0. 001).
- 在高SI组中观察到更高的呼吸道干预率 (23%对4. 3%,P=0. 005) 和肺胸/ 血胸 (P=0. 005).
- 升高的SI与增加的输血需求 (10%对1. 1%,P=0. 046) 和整体血液动力学不稳定性有关.
结论:
- 在创伤患者中,高震指与不良临床结果密切相关.
- SI是快速评估创伤严重程度的简单有效工具,有可能在紧急情况下提升早期分拣和决策.
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