CAJ | 학술논문

目的应用年龄、意识状态、呼吸、动脉收缩压、脉搏、经皮血氧饱和度、心电图、体温、快速血糖9项指标监测对患者进行病情评估，以期得到急诊快速病情严重程度评估方法（rapid emergency severity assessment， RESA）。方法本组临床研究采取自然收集资料、回顾性分析，选取2008-12-26～2010-09-13我院急诊科的急危重症抢救病例3089例，将患者急诊就诊后第7日的生存或死亡作为金标准，计算RESA 方法ROC 曲线下面积、敏感度、特异度。结果以7日死亡与存活为金标准，RESA ROC 曲线下面积为0．956。符合2项异常为界值，7日死亡率高，敏感度97．3％，特异度81．7％。结论 RESA 是继RAPS、EWS 和MEWS 评分系统、REMS、SCS 之后用于急诊病情评估的一种新的方法，优点是以定性代替定量评分，快速、简捷、实用性强。
목적응용년령、의식상태、호흡、동맥수축압、맥박、경피혈양포화도、심전도、체온、쾌속혈당9항지표감측대환자진행병정평고，이기득도급진쾌속병정엄중정도평고방법（rapid emergency severity assessment， RESA）。방법본조림상연구채취자연수집자료、회고성분석，선취2008-12-26～2010-09-13아원급진과적급위중증창구병례3089례，장환자급진취진후제7일적생존혹사망작위금표준，계산RESA 방법ROC 곡선하면적、민감도、특이도。결과이7일사망여존활위금표준，RESA ROC 곡선하면적위0．956。부합2항이상위계치，7일사망솔고，민감도97．3％，특이도81．7％。결론 RESA 시계RAPS、EWS 화MEWS 평분계통、REMS、SCS 지후용우급진병정평고적일충신적방법，우점시이정성대체정량평분，쾌속、간첩、실용성강。
Objective To obtain rapid emergency severity assessment ( RESA ) by age, consciousness, breathing, systolic blood pressure, pulse rate, transcutaneous oxygen saturation , ECG, body temperature , rapid blood sugar .Methods This retrospective study included 3089 critically ill patients who were rescued in our hospital emergency department from December 26, 2008~September 13, 2010.The 7-day mortality was served as the gold standard to calculate the area under the ROC curve (AROCC), the sensitivity, specificity for RESA.Results AROCC of RESA was 0.956 (95%CI 0.933 to 0.980), so RESA was a predictor of 7-day mortality.In line with more than two or two critically ill patients, said, on the 7th of high mortality, sensitivity 97.3%, specificity 81.7%. Conclusion RESA is a new assessment method in emergency following the RAPS , EWS and MEWS scoring system, REMS, SCS.The advantages of RESA are qualitative instead of quantitative ratings , fast, simple and practical .