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：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

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

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.	葛文漢, 李兵, 阮海林, 等. CRAMS評分評估急性創傷患者預后的價值[J].中華創傷雜志, 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[J].中國急救復蘇與災害醫學雜志, 2015, 6(10): 541-545.
5.	王連馥, 劉嘉煒, 陳冬琴.等急診快速病情嚴重程度評估——一種新的急診病情評估方法[J].中國急救醫學, 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預后判斷中的應用[J].山東醫藥, 2015, 55(47): 14-16.
9.	張彥虎, 周苗苗, 吳曉英. TISS在SICU護理工作量評定與分析中的應用[J].中國護理管理, 2008, 8(11): 41-44.
10.	李亦綱, 張媛, 李志偉.地震災區救援力量優化調配模型[J].自然災害學報, 2012, 21(3): 150-154.
11.	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[J].中國急救復蘇與災害醫學雜志, 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.	鄧旭軍, 樊莉. REMS評分系統在院前急救中的應用研究[J].新疆醫學, 2015, 45(11): 1613-1615.
14.	許榕椿, 朱震豪, 翁志成, 等. REMs評分與APACHEⅡ評分對預測急診危重患者預后的臨床意義[J].實用臨床醫藥雜志, 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.	任藝, 邵旦兵, 劉紅梅.三種不同評分在急診危重患者預后評估中的對比研究[J].中華急診醫學雜志, 2014, 23(1): 71-74.
17.	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[J].中國急救復蘇與災害醫學雜志, 2015, 10(5): 415-419.
18.	吉春玲, 周厚榮, 楊秀林, 等. REMS評分對ST段抬高性心肌梗死患者近期死亡風險的預測價值[J].中國急救醫學, 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. 葛文漢, 李兵, 阮海林, 等. CRAMS評分評估急性創傷患者預后的價值[J].中華創傷雜志, 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[J].中國急救復蘇與災害醫學雜志, 2015, 6(10): 541-545.
5. 王連馥, 劉嘉煒, 陳冬琴.等急診快速病情嚴重程度評估——一種新的急診病情評估方法[J].中國急救醫學, 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預后判斷中的應用[J].山東醫藥, 2015, 55(47): 14-16.
9. 張彥虎, 周苗苗, 吳曉英. TISS在SICU護理工作量評定與分析中的應用[J].中國護理管理, 2008, 8(11): 41-44.
10. 李亦綱, 張媛, 李志偉.地震災區救援力量優化調配模型[J].自然災害學報, 2012, 21(3): 150-154.
11. 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[J].中國急救復蘇與災害醫學雜志, 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. 鄧旭軍, 樊莉. REMS評分系統在院前急救中的應用研究[J].新疆醫學, 2015, 45(11): 1613-1615.
14. 許榕椿, 朱震豪, 翁志成, 等. REMs評分與APACHEⅡ評分對預測急診危重患者預后的臨床意義[J].實用臨床醫藥雜志, 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. 任藝, 邵旦兵, 劉紅梅.三種不同評分在急診危重患者預后評估中的對比研究[J].中華急診醫學雜志, 2014, 23(1): 71-74.
17. 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[J].中國急救復蘇與災害醫學雜志, 2015, 10(5): 415-419.
18. 吉春玲, 周厚榮, 楊秀林, 等. REMS評分對ST段抬高性心肌梗死患者近期死亡風險的預測價值[J].中國急救醫學, 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

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content