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

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8.	胡海, 唐时元, 曹钰, 等. 浅论"5•12"汉川地震直升飞机人批量转运伤病员的医疗管理. 中国急救复苏与灾害医学杂志, 2009, 4(4): 206-208.
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10.	赵伟. 灾害救援现场检伤分类方法-评述院外定性与定量法. 中国急救复苏与灾害医学杂志, 2007, 2(5): 291-294.
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12.	陈竺, 沈骥, 康均行, 等. 特大地震应急医学救援: 来自汶川的经验. 中国循证医学杂志, 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. 中国急救复苏与灾害医学杂志, 2015, 10(5): 415-419.
16.	陈竺. 温故而知新—汶川地震医疗救援的教训与思考. 中国循证医学杂志, 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. 中国急救复苏与灾害医学杂志, 2014, 9(2): 105-107.
19.	高永莉, 胡海, 姜静媛, 等. START 与 ISS 对于群体伤患者检伤分类的一致性分析. 中国急救复苏与灾害医学杂志, 2013, 8(6): 570-571.
20.	何亚荣, 胡海, 蒋耀文. 影响芦山地震伤员住院时间的多因素分析. 四川大学学报(医学版), 2014, 45(4): 633-636.
21.	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. 中国急救复苏与灾害医学杂志, 2015, 10(6): 541-545.

1. 屈纪富, 孙激, 张雷, 等. 火车转运汶川地震批量伤员的检伤分类. 中华创伤杂志, 2009, 25(10): 934-935.
2. 李宗浩, 总主编. 中国灾害救援医学(第一版上卷). 天津: 天津科学技术版社, 2014: 665-666.
3. 盛洁, 席茜, 白艳, 等. 芦山和汶川地震中不同急诊接诊分诊流程对地震伤员急诊滞留时间的影响. 中国循证医学杂志, 2013, 13(6): 637-640.
4. 冯庚. 院前急救时的检伤分类—临床分析要点. 中国全科医学, 2012, 15(3B): 897-898.
5. 冯庚. 院前急救时的检伤分类—概述. 中国全科医学, 2012, 15(1B): 231-232.
6. 冯亮, 王利民, 陈莉, 等. 地震伤的检伤分类与分级救治. 现代医药卫生, 2009, 25(3): 323-325.
7. 李大江, 张卫东, 刘启望. 汉川地震医学救援中的伤员接诊处置与转出管理. 中国循证医学杂志, 2008, 8(6): 383-385.
8. 胡海, 唐时元, 曹钰, 等. 浅论"5•12"汉川地震直升飞机人批量转运伤病员的医疗管理. 中国急救复苏与灾害医学杂志, 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. 赵伟. 灾害救援现场检伤分类方法-评述院外定性与定量法. 中国急救复苏与灾害医学杂志, 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. 陈竺, 沈骥, 康均行, 等. 特大地震应急医学救援: 来自汶川的经验. 中国循证医学杂志, 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. 中国急救复苏与灾害医学杂志, 2015, 10(5): 415-419.
16. 陈竺. 温故而知新—汶川地震医疗救援的教训与思考. 中国循证医学杂志, 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. 中国急救复苏与灾害医学杂志, 2014, 9(2): 105-107.
19. 高永莉, 胡海, 姜静媛, 等. START 与 ISS 对于群体伤患者检伤分类的一致性分析. 中国急救复苏与灾害医学杂志, 2013, 8(6): 570-571.
20. 何亚荣, 胡海, 蒋耀文. 影响芦山地震伤员住院时间的多因素分析. 四川大学学报(医学版), 2014, 45(4): 633-636.
21. 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. 中国急救复苏与灾害医学杂志, 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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