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目的探讨START检伤分类、Care-Flight检伤分类、快速急诊医学分类(rapid emergency medicine score,REMS)和Sacco评分与芦山地震伤患者住院时间、ICU留置时间和创伤危重度的相关性。方法回顾性分析2013年4月20日至4月26日从芦山地震前线医院转入我院急诊科就诊检伤分类中非绿色的危重地震伤员41例。比较不同检伤分类患者的住院时间和ICU留置时间并分析四种检伤方法与住院时间、ICU留置时间和损伤严重评分(ISS)的相关性。结果 START分类、Care-Flight检伤分类为红色者ICU留置时间长于黄色者,但住院时间无明显差异。此外,START分类法和Care-Flight检伤分类法归为危重的伤员与ICU留置时间之间存在相关关系。结论 START检伤分类法和Care-Flight检伤分类法分类为红色的危重伤员其ICU留置时间较长;START和Care-Flight检伤分类等级与ICU留置时间具有相关性。
Objective To explore the correlation between the classification of START, the classification of Care-Flight, the rapid emergency medicine score (REMS) and the Sacco score and the length of hospital stay, the duration of ICU stay and the severity of trauma in Lushan earthquake victims. Methods A retrospective analysis was conducted on 41 cases of non-green and serious earthquake victims who were transferred from the Lushan earthquake front line hospital to the emergency department of our hospital from April 20 to April 26, 2013. The hospitalization time and ICU retention time of patients with different test classification were compared and the correlations of four test methods and hospitalization time, ICU retention time and severity of injury (ISS) were analyzed. The results of the classification of the START, Care-Flight test classified as red ICU indwelling longer than yellow, but there was no significant difference in hospitalization time. In addition, the relationship between the START classification and the Care-Flight triage classification is classified as critically ill and ICU retention time. Conclusion The ICU stay time of the critically injured patients classified by the START test classification and the Care-Flight test classification was longer. The classification of the START and Care-Flight test was correlated with the ICU stay time.