中国全科医学2011，Vol.14Issue(14)：1608-1609,2.
急诊患者死亡危险因素分析
Mortality Risk Factor Analysis in Emergency Department Patients
齐志伟 1刘业成 2徐军 2朱华栋 2王仲 2于学忠 2马遂2
作者信息
- 1. 100029,北京市,中日友好医院急诊科
- 2. 中国医学科学院,北京协和医学院,北京协和医院急诊科
- 折叠
摘要
Abstract
Objective The ohjective of this study is to analyze mortality risk factors of emergency department patients in order to provide evidence to further increase the efficiency of triaging. Methods Retrospective chart review of 22, 161 patients who presented to Peking Union Medical College Hospital Emergency Department and received Ⅳ fluids from January 1st,2009 to December 31st, 2009. Multivariable regression analysis of age, gender, vital signs, level of consciousness, presenting complaint, calculated shock index and outcome was performed. Results Emergency patients' risk factors for mortality in order of decreasing relevance are : oxygen saturation ＜92％ , altered mental status, dyspnea, chest pain, heart rate ＞ 120 beats per minute, systolic blood pressure ＜90 mm Hg, trauma and hemorrhage, age ＞65 years, male gender, diastolic blood pressure ＜60 mm Hg. Shock index and mortality rate have no significant correlation for emergency patients. Conclusion The important points to consider in triage are: abnormal vital signs, altered mental status, chest pain, trauma and hemorrhage, elderly and male gender.关键词
急诊室,医院/死亡/危险因素分类
医药卫生引用本文复制引用
齐志伟,刘业成,徐军,朱华栋,王仲,于学忠,马遂..急诊患者死亡危险因素分析[J].中国全科医学,2011,14(14):1608-1609,2.
