Correlation Analysis between Rapid Emergency Medicine Score and Therapeutic Intervention Scoring System Score in Critically Wounded Victims in Lushan Earthquake_West China Medical Journal

Authors：

 NiuZhendong , HuHai ,  CaoYu

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

Corresponding author：

CaoYu, Email: yuyuer@126.com

Keywords：

Lushan earthquake; Rapid emergency medicine score; Therapeutic intervention scoring system score; Medical rescue

DOI：

10.7507/1002-0179.201600454

Video：

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Objective To investigate the correlation between rapid emergency medicine score (REMS) and therapeutic intervention scoring system (TISS-28) score and analyze the feasibility of assessing the nursing workload by REMS score for critically wounded earthquake victims, in order to provide reference for rapid and effective resource allocation for earthquake victims. Methods A retrospective analysis was carried out on 39 Lushan earthquake victims with their acute plysiology and chronic health evaluationⅡ scores higher than 25, who were directly transferred from the earthquake site to the Emergency Department of West China Hospital between April 20 and 27, 2013. Among them, there were 24 males and 15 females aged between 5 and 90 years old averaging (57.1±19.8) years. REMS score and TISS-28 score were calculated for each victim. The relationship between REMS score and TISS-28 score was analyzed by correlation analysis and curve estimation including linear model, quadratic model, composite model, growth model, logarithm model, cubic model and exponential model. Then, we tried to find out the most suitable description for the relationship between REMS score and TISS-28 score. Results The Spearman correlation coefficient between the two score systems was 0.710 and the most suitable description for the relationship between REMS score and TISS-28 score was logarithmic curve model. The formula was TISS=-5.946+4.467lnREMS. Conclusion REMS score can be applied as a nursing workload predicting tool for critically wounded victims in Lushan earthquake and it provides a guidance for rational allocation of health resources.

Citation： NiuZhendong, HuHai, CaoYu. Correlation Analysis between Rapid Emergency Medicine Score and Therapeutic Intervention Scoring System Score in Critically Wounded Victims in Lushan Earthquake. West China Medical Journal, 2016, 31(10): 1649-1652. doi: 10.7507/1002-0179.201600454 Copy

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2.	葛文汉, 李兵, 阮海林, 等. CRAMS评分评估急性创伤患者预后的价值[J].中华创伤杂志, 2014, 30(8): 807-810.
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7.	Imhoff BF, Thompson NJ, Hastings MA, et al. Rapid emergency medicine score (REMS) in the trauma population: a retrospective study[J]. BMJ Open, 2014, 4(5): e004738.
8.	方婷婷, 肖江琴, 王海燕, 等. MEWS、NEWS和APACHEⅡ在急性中毒危重患者预后判断中的应用[J].山东医药, 2015, 55(47): 14-16.
9.	张彦虎, 周苗苗, 吴晓英. TISS在SICU护理工作量评定与分析中的应用[J].中国护理管理, 2008, 8(11): 41-44.
10.	李亦纲, 张媛, 李志伟.地震灾区救援力量优化调配模型[J].自然灾害学报, 2012, 21(3): 150-154.
11.	李晓辉, 胡海, 高永莉, 等. 4·20芦山地震261例不同灾情地区伤员伤情分析[J].中国急救复苏与灾害医学杂志, 2014, 2(2): 105-107.
12.	Rythereh D, Smith GB, Schmidt PE, et al. Views-towards a National Early Warning Score for detecting adult in patient deterioration[J]. Resuscitation, 2010, 81(8): 932-937.
13.	邓旭军, 樊莉. REMS评分系统在院前急救中的应用研究[J].新疆医学, 2015, 45(11): 1613-1615.
14.	许榕椿, 朱震豪, 翁志成, 等. REMs评分与APACHEⅡ评分对预测急诊危重患者预后的临床意义[J].实用临床医药杂志, 2009, 13(23): 35-36.
15.	Imhoff B, Thompson NJ, Hastings MA, et al. Rapid emergency medicine score (REMS) in the trauma population: a retrospective study[J]. BMJ Open, 2014, 4(5): 4738.
16.	任艺, 邵旦兵, 刘红梅.三种不同评分在急诊危重患者预后评估中的对比研究[J].中华急诊医学杂志, 2014, 23(1): 71-74.
17.	胡海, 杜鑫淼, 曹钰.以休克指数作参数的修正创伤评分在地震现场躯干伤伤员转运前伤情评估时的应用价值[J].中国急救复苏与灾害医学杂志, 2015, 10(5): 415-419.
18.	吉春玲, 周厚荣, 杨秀林, 等. REMS评分对ST段抬高性心肌梗死患者近期死亡风险的预测价值[J].中国急救医学, 2015, 35(4): 308-312.

1. Lebel E, Blumberg N, Gill A, et al. External fixator frames as interim damage control for limb injuries: experience in the 2010 Haiti earthquake[J]. J Trauma, 2011, 71(6): E128-E131.
2. 葛文汉, 李兵, 阮海林, 等. CRAMS评分评估急性创伤患者预后的价值[J].中华创伤杂志, 2014, 30(8): 807-810.
3. Alam N, Hobbelink EL, van Tienhoven AJ, et al. The impact of the use of the Early Warning Score (EWS) on patient outcomes: a systematic review[J]. Resuscitation, 2014, 85(5): 587-594.
4. 白艳, 胡海, 曹钰, 等. 3种现场检伤分类法在芦山地震中的应用价值研究[J].中国急救复苏与灾害医学杂志, 2015, 6(10): 541-545.
5. 王连馥, 刘嘉炜, 陈冬琴.等急诊快速病情严重程度评估——一种新的急诊病情评估方法[J].中国急救医学, 2014, 34(10): 910-913.
6. Gouzou M, Karanikola M, Lemonidou C, et al. Measuring professional satisfaction and nursing workload among nursing staff at a Greek Coronary Care Unit[J]. Rev Esc Enferm USP, 2015, 49(2): 15-21.
7. Imhoff BF, Thompson NJ, Hastings MA, et al. Rapid emergency medicine score (REMS) in the trauma population: a retrospective study[J]. BMJ Open, 2014, 4(5): e004738.
8. 方婷婷, 肖江琴, 王海燕, 等. MEWS、NEWS和APACHEⅡ在急性中毒危重患者预后判断中的应用[J].山东医药, 2015, 55(47): 14-16.
9. 张彦虎, 周苗苗, 吴晓英. TISS在SICU护理工作量评定与分析中的应用[J].中国护理管理, 2008, 8(11): 41-44.
10. 李亦纲, 张媛, 李志伟.地震灾区救援力量优化调配模型[J].自然灾害学报, 2012, 21(3): 150-154.
11. 李晓辉, 胡海, 高永莉, 等. 4·20芦山地震261例不同灾情地区伤员伤情分析[J].中国急救复苏与灾害医学杂志, 2014, 2(2): 105-107.
12. Rythereh D, Smith GB, Schmidt PE, et al. Views-towards a National Early Warning Score for detecting adult in patient deterioration[J]. Resuscitation, 2010, 81(8): 932-937.
13. 邓旭军, 樊莉. REMS评分系统在院前急救中的应用研究[J].新疆医学, 2015, 45(11): 1613-1615.
14. 许榕椿, 朱震豪, 翁志成, 等. REMs评分与APACHEⅡ评分对预测急诊危重患者预后的临床意义[J].实用临床医药杂志, 2009, 13(23): 35-36.
15. Imhoff B, Thompson NJ, Hastings MA, et al. Rapid emergency medicine score (REMS) in the trauma population: a retrospective study[J]. BMJ Open, 2014, 4(5): 4738.
16. 任艺, 邵旦兵, 刘红梅.三种不同评分在急诊危重患者预后评估中的对比研究[J].中华急诊医学杂志, 2014, 23(1): 71-74.
17. 胡海, 杜鑫淼, 曹钰.以休克指数作参数的修正创伤评分在地震现场躯干伤伤员转运前伤情评估时的应用价值[J].中国急救复苏与灾害医学杂志, 2015, 10(5): 415-419.
18. 吉春玲, 周厚荣, 杨秀林, 等. REMS评分对ST段抬高性心肌梗死患者近期死亡风险的预测价值[J].中国急救医学, 2015, 35(4): 308-312.

West China Medical Journal

Correlation Analysis between Rapid Emergency Medicine Score and Therapeutic Intervention Scoring System Score in Critically Wounded Victims in Lushan Earthquake

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