解放军医学院学报2023，Vol.44Issue(11)：1206-1211,6.DOI:10.12435/j.issn.2095-5227.2023.040
伤员伤情危重程度简易评分的构建与验证
Construction and verification of a simple scoring system for severity of injuries
摘要
Abstract
Background Accurate assessment and classification for the severity of injuries is a prerequisite and foundation for implementing timely and scientific treatment.Objective To provide some monitoring indicators and measurement methods for the severity of injuries for uses in battlefield and on-site first aid.Methods A total of 44 642 cases with trauma injuries were collected from 8 medical centers affiliated to Chinese PLA General Hospital from 2014 to 2018,and multiple logistic regression analysis was used to construct an injury severity scoring model,including 10 indicators:age,admission condition,temperature,pulse,breathing,systolic blood pressure,number of comorbidities,injury sites,injury types,and injury causes.The Liu method,Youden index method,and nearest(0,1)method were used to determine the cut-off scores of trauma severity.Results The severity score of injury was the sum of the risk scores of each variable,ranging from-15 to 98 points,and the verification of discrimination and calibration degree of the model was good.The cut-off score for grading injuries into mild and severe was 32,with＜32 classified as mild and≥32 as severe.Conclusion The injury severity score can be used for assessment of the severity and prediction of casualty outcomes in battlefield and on-site environments,which can be used as a reference for resource allocation.关键词
创伤/院前/创伤危重程度评分模型/急救医学/死亡率Key words
trauma/pre-hospital/traumatic severity scoring model/emergency medicine/mortality分类
医药卫生引用本文复制引用
刘微,刘建超,庄倩,冯聪,叶小飞,刘丽华,李林..伤员伤情危重程度简易评分的构建与验证[J].解放军医学院学报,2023,44(11):1206-1211,6.基金项目
国家重点研发计划(2020YFC2003403) （2020YFC2003403）
国家重点研发计划(2020YFC2003402) （2020YFC2003402）
国家自然科学基金项目(72274211 （）
82072200) （）
