修改疼痛,呼吸能力和咳 (PIC) 评分:在的胸部创伤中,一个简单的替代选工具
Paula A Grisales1, Haley Krachman2, John D Cull1
1Department of Surgery, Prisma Health Upstate, Greenville, SC, USA.
The American surgeon
|December 27, 2025
概括
修改后的疼痛,呼吸能力和咳 (PIC) 评分简化了对肋骨骨折严重性的评估. 这种经过验证的工具可以准确识别需要进入重症监护室 (ICU) 的患者,而不会错过高风险病例.
科学领域:
- 创伤外科手术是什么
- 关键护理医学 关键护理医学
- 肺功能测试试验 肺功能测试试验
背景情况:
- 肋骨骨折的严重程度往往被低估,延迟了关键护理.
- 早期识别患有肋骨骨折的高风险患者至关重要.
- 最初的疼痛,呼吸能力和咳 (PIC) 评分对于床边使用来说是复杂的.
研究的目的:
- 为了评估修改后的PIC得分来评估肋骨骨折的严重程度.
- 为了确定修改后的PIC分数是否可以预测重症监护室 (ICU) 的入院和不良结果.
- 评估修改后的PIC分数作为原始PIC分数的替代品的有用性.
主要方法:
- 一级创伤中心的回顾性队列研究.
- 包括患有肋骨骨折的成年患者 (2019年1月 - 2020年12月).
- 修改后的PIC得分 (简化启发能力) 与原来的PIC得分进行比较.
主要成果:
- 原始和修改的PIC分数之间具有很高的一致性 (≥89.6%).
- 修改后的分数减少了22.4%的ICU入院.
- 使用修改后的得分,没有任何需要重症监护的患者被遗漏.
结论:
- 修改后的PIC评分是评估肋骨骨折严重程度的实用和验证的工具.
- 它显示了与原始PIC得分相当的预后值.
- 修改后的PIC得分有助于有效地为肋骨骨折患者做出ICU分组决策.
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