Correlation analysis of four triage methods for the length of hospital stay, length of ICU stay and the severity of injury in Lushan earthquake victims_Chinese Journal of Evidence-Based Medicine

Authors：

XI Qian , BAI Yan , CHEN Xiaoli , YE Lei ,  HU Hai

Emergency Department, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, P.R.China;

Corresponding?author：

HU Hai, Email: 412643356@qq.com

Keywords：

Triage; The length of hospital stay; The length of ICU stay; Earthquake victims

DOI：

10.7507/1672-2531.201605078

Video：

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ObjectiveTo evaluate four triage methods including START, Care-Flight, rapid emergency medicinescore (REMS) and Sacco score for the length of hospital stay, length of ICU stay and the severity of injury in Lushan earthquake victims.MethodsA retrospective analysis was performed in 41 cases of critical earthquake victims in the emergency department of West China Hospital from April 20^th to April 26^th, 2013 in Lushan earthquake. The length of hospital stay and length of ICU stay were compared for four triage methods. The correlation between four triage methods and length of hospital stay, length of ICU stay and injury severity score (ISS) were also analyzed.ResultsThe length of ICU stay for victims whose triage level were red by START triage method or Care-Flight triage method was longer than whose triage levels were yellow. But the length of hospital stay for victims between the two triage levels had no significant difference. In addition, there was a correlation between critical victims and the length of ICU stay in the classification of START triage method and Care-Flight triage method.ConclusionThe length of ICU stay of the victims, whose triage level are red by START triage or Care-Flight triage methods, are longer than whose triage level are yellow. The levels of START and Care-Flight triage are correlated to length of ICU stay.

Citation： XI Qian, BAI Yan, CHEN Xiaoli, YE Lei, HU Hai. Correlation analysis of four triage methods for the length of hospital stay, length of ICU stay and the severity of injury in Lushan earthquake victims. Chinese Journal of Evidence-Based Medicine, 2017, 17(7): 756-759. doi: 10.7507/1672-2531.201605078 Copy

1.	屈紀富, 孫激, 張雷, 等. 火車轉運汶川地震批量傷員的檢傷分類. 中華創傷雜志, 2009, 25(10): 934-935.
2.	李宗浩, 總主編. 中國災害救援醫學(第一版上卷). 天津: 天津科學技術版社, 2014: 665-666.
3.	盛潔, 席茜, 白艷, 等. 蘆山和汶川地震中不同急診接診分診流程對地震傷員急診滯留時間的影響. 中國循證醫學雜志, 2013, 13(6): 637-640.
4.	馮庚. 院前急救時的檢傷分類—臨床分析要點. 中國全科醫學, 2012, 15(3B): 897-898.
5.	馮庚. 院前急救時的檢傷分類—概述. 中國全科醫學, 2012, 15(1B): 231-232.
6.	馮亮, 王利民, 陳莉, 等. 地震傷的檢傷分類與分級救治. 現代醫藥衛生, 2009, 25(3): 323-325.
7.	李大江, 張衛東, 劉啟望. 漢川地震醫學救援中的傷員接診處置與轉出管理. 中國循證醫學雜志, 2008, 8(6): 383-385.
8.	胡海, 唐時元, 曹鈺, 等. 淺論"5?12"漢川地震直升飛機人批量轉運傷病員的醫療管理. 中國急救復蘇與災害醫學雜志, 2009, 4(4): 206-208.
9.	Hu H, He YR, Zhang S, et al. Streamlined focused assessment with sonography for mass casualty pre-hospital triage of blunt torso trauma patients. Am J Emerg Med, 2014, 32(7): 803-806.
10.	趙偉. 災害救援現場檢傷分類方法-評述院外定性與定量法. 中國急救復蘇與災害醫學雜志, 2007, 2(5): 291-294.
11.	Imhoff BF, Thompson NJ, Hastings MA, et al. Rapid Emergency Medicine Score (REMS) in the trauma population: a retrospective study. BMJ Open, 2014, 4(5): 004738.
12.	陳竺, 沈驥, 康均行, 等. 特大地震應急醫學救援: 來自汶川的經驗. 中國循證醫學雜志, 2012, 12(4): 383-392.
13.	Liu B, Hu Hai, He YR, et al. An evaluation model of surgery capability of tertiary hospital in disasters: a cross-sectional survey in China. Public Health, 2015, 129(9): 1301-1303.
14.	Schultz CH, Koenig KL, Noji EK. A medical disaster response to reduce immediate mortality after an earthquake. N Engl J Med, 1996, 334(7): 438-444.
15.	胡海, 杜鑫淼, 曹鈺. 以休克指數作參數的修正創傷評分在地震現場軀干傷傷員轉運前傷情評估時的應用價值. 中國急救復蘇與災害醫學雜志, 2015, 10(5): 415-419.
16.	陳竺. 溫故而知新—汶川地震醫療救援的教訓與思考. 中國循證醫學雜志, 2009, 9(11): 1142.
17.	HU H, He YR, Du XM, et al. Chief complaints associated with mortality involving civilian transport after Wen-chuan earthquake. Eur J Emerg Med, 2014, 21(5): 364-367.
18.	李曉輝, 胡海, 高永莉, 等. 4?20 蘆山地震 261 例不同災情地區傷員傷情分析. 中國急救復蘇與災害醫學雜志, 2014, 9(2): 105-107.
19.	高永莉, 胡海, 姜靜媛, 等. START 與 ISS 對于群體傷患者檢傷分類的一致性分析. 中國急救復蘇與災害醫學雜志, 2013, 8(6): 570-571.
20.	何亞榮, 胡海, 蔣耀文. 影響蘆山地震傷員住院時間的多因素分析. 四川大學學報(醫學版), 2014, 45(4): 633-636.
21.	白艷, 胡海, 曹鈺, 等. 3 種現場檢傷分類法在蘆山地震中的應用價值研究. 中國急救復蘇與災害醫學雜志, 2015, 10(6): 541-545.

1. 屈紀富, 孫激, 張雷, 等. 火車轉運汶川地震批量傷員的檢傷分類. 中華創傷雜志, 2009, 25(10): 934-935.
2. 李宗浩, 總主編. 中國災害救援醫學(第一版上卷). 天津: 天津科學技術版社, 2014: 665-666.
3. 盛潔, 席茜, 白艷, 等. 蘆山和汶川地震中不同急診接診分診流程對地震傷員急診滯留時間的影響. 中國循證醫學雜志, 2013, 13(6): 637-640.
4. 馮庚. 院前急救時的檢傷分類—臨床分析要點. 中國全科醫學, 2012, 15(3B): 897-898.
5. 馮庚. 院前急救時的檢傷分類—概述. 中國全科醫學, 2012, 15(1B): 231-232.
6. 馮亮, 王利民, 陳莉, 等. 地震傷的檢傷分類與分級救治. 現代醫藥衛生, 2009, 25(3): 323-325.
7. 李大江, 張衛東, 劉啟望. 漢川地震醫學救援中的傷員接診處置與轉出管理. 中國循證醫學雜志, 2008, 8(6): 383-385.
8. 胡海, 唐時元, 曹鈺, 等. 淺論"5?12"漢川地震直升飛機人批量轉運傷病員的醫療管理. 中國急救復蘇與災害醫學雜志, 2009, 4(4): 206-208.
9. Hu H, He YR, Zhang S, et al. Streamlined focused assessment with sonography for mass casualty pre-hospital triage of blunt torso trauma patients. Am J Emerg Med, 2014, 32(7): 803-806.
10. 趙偉. 災害救援現場檢傷分類方法-評述院外定性與定量法. 中國急救復蘇與災害醫學雜志, 2007, 2(5): 291-294.
11. Imhoff BF, Thompson NJ, Hastings MA, et al. Rapid Emergency Medicine Score (REMS) in the trauma population: a retrospective study. BMJ Open, 2014, 4(5): 004738.
12. 陳竺, 沈驥, 康均行, 等. 特大地震應急醫學救援: 來自汶川的經驗. 中國循證醫學雜志, 2012, 12(4): 383-392.
13. Liu B, Hu Hai, He YR, et al. An evaluation model of surgery capability of tertiary hospital in disasters: a cross-sectional survey in China. Public Health, 2015, 129(9): 1301-1303.
14. Schultz CH, Koenig KL, Noji EK. A medical disaster response to reduce immediate mortality after an earthquake. N Engl J Med, 1996, 334(7): 438-444.
15. 胡海, 杜鑫淼, 曹鈺. 以休克指數作參數的修正創傷評分在地震現場軀干傷傷員轉運前傷情評估時的應用價值. 中國急救復蘇與災害醫學雜志, 2015, 10(5): 415-419.
16. 陳竺. 溫故而知新—汶川地震醫療救援的教訓與思考. 中國循證醫學雜志, 2009, 9(11): 1142.
17. HU H, He YR, Du XM, et al. Chief complaints associated with mortality involving civilian transport after Wen-chuan earthquake. Eur J Emerg Med, 2014, 21(5): 364-367.
18. 李曉輝, 胡海, 高永莉, 等. 4?20 蘆山地震 261 例不同災情地區傷員傷情分析. 中國急救復蘇與災害醫學雜志, 2014, 9(2): 105-107.
19. 高永莉, 胡海, 姜靜媛, 等. START 與 ISS 對于群體傷患者檢傷分類的一致性分析. 中國急救復蘇與災害醫學雜志, 2013, 8(6): 570-571.
20. 何亞榮, 胡海, 蔣耀文. 影響蘆山地震傷員住院時間的多因素分析. 四川大學學報(醫學版), 2014, 45(4): 633-636.
21. 白艷, 胡海, 曹鈺, 等. 3 種現場檢傷分類法在蘆山地震中的應用價值研究. 中國急救復蘇與災害醫學雜志, 2015, 10(6): 541-545.

Chinese Journal of Evidence-Based Medicine

Correlation analysis of four triage methods for the length of hospital stay, length of ICU stay and the severity of injury in Lushan earthquake victims

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