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在创伤患者中比较预先入院与抵达格拉斯哥昏迷度量得分:回顾性分析

Timothy M Attride¹, Ryan M Hatfield¹, Nathan A Huffman²

¹Department of Emergency Medicine, Prisma Health Midlands, Columbia, USA.

|October 17, 2025

概括

前医院和急诊室格拉斯哥昏迷度量 (GCS) 评分显示中等一致,根据运输方式和酒精中毒的变化. 这些差异可能不会显著影响创伤患者的分拣.

科学领域:

紧急医疗紧急医疗
创伤护理创伤护理
临床评估临床评估

背景情况:

格拉斯哥昏迷量表 (GCS) 对于在医院前识别重症创伤患者至关重要.
医院前GCS (pGCS) 和到达GCS (aGCS) 之间的差异会影响患者分拣和资源分配.

研究的目的:

在创伤患者中评估pGCS和aGCS之间的一致性.
评估酒精中毒对GCS协议的影响.
分析各种运输方式之间的GCS差异.

主要方法:

对2531名创伤患者 (年龄≥14) 的回顾性队列研究.
组件,总和分类GCS分数的比较,使用加权的科恩卡帕.
在急性中毒患者和运输方法中分析GCS协议.

主要成果:

在pGCS和aGCS之间适度的总体协议 (kappa 0.54);根据严重程度的实质性协议 (kappa 0.67).
酒精中毒导致中度同意 (kappa 0.57).
与aGCS相比,pGCS与地面EMS相比较低,与空中EMS相比较高.

结论:

医院前和ED提供者之间的GCS协议是温和的.
协议因运输方式和酒精中毒而有所不同.
观察到的GCS差异可能对创伤患者管理没有临床意义.

关键词:

紧急医疗服务紧急医疗服务没有EMS就没有EMS.在GCS的基础上,GCS 格拉斯哥昏迷表格格格拉斯哥昏迷表格创伤的创伤创伤的创伤.

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