摘要
目的 :探讨创伤严重程度评分 (TRISS)和创伤严重程度特征评分 (ASCOT)两种评分法在单纯颅脑外伤中的评估价值。方法 :单纯性颅脑外伤 2 2 8例 ,年龄 4～ 78岁 ,平均 37岁。TRISS和 ASCOT中的生理学参数依据患者入院时的原始记录 ,解剖学损伤定位依据 CT报告和手术记录。应用《创伤评分工具集》计算机软件进行分析评价结局。结果 :2 2 8例患者实际死亡 73例 ,TRISS和 ASCOT敏感性分别为 17.8%和 4 1.1% ,特异性分别为 96 .7%和 96 .8% ,预测阳性率为 72 .2 %和 88.2 % ,预测阴性率为 71.4 %和 77.7% ,错误归类率为2 8.4 %和 2 1.0 % ,正确归类率为 72 .2 %和 78.9%。结论 :TRISS和 ASCOT在单纯性颅脑外伤患者中预测结局的敏感性均较低 ,但相比之下 ASCOT优于
Objective:To investigate the predictive value for head injury with trauma revised injury severity score(TRISS) and a severity characterization of trauma(ASCOT).Methods:The data of 228 cases of head injury were reviewed.The mean age of patients was 37 years(range 478 years).The parameters of physiology and anatomy from admission original record,CT and surgical record were analyzed with 'Trauma Scoring Sets'.Results:Seventythree of 228 patients died.The sensitivity,specificity,positive predictive rate,negative predictive rate,misclassifications,correct classifications respectively,were 17 8%,96 7%,72 2%,71 4%,28 4%,72 2% in TRISS,and 41 1%,96 8%,88 2%,77 7%,21 0%,78 9% in ASCOT.Conclusions:The sensitivity in TRISS and ASCOT appears to be poor in patients with head injury,and that of ASCOT is better than that of TRISS.
出处
《中国危重病急救医学》
CAS
CSCD
2002年第5期305-307,共3页
Chinese Critical Care Medicine
关键词
颅脑外伤
预测
创伤结局
严重程度评分
严重程度特征评分
head injuries
predictive value
trauma revised injury severity score
a severity characterization of trauma
