摘要
目的探讨多发伤患者入院SIRS评分与其预后的相关性.方法对我院急诊创伤中心2000-01～2003-12间所收治的915例多发伤患者进行入院SIRS和ISS评分,分SIRS组与非SIRS组(SIRS分值为0,1)进行对比,同时根据年龄和ISS评分变量调整后通过Logistic和线形回归模型评价SIRS评分与多发伤患者死亡率、入ICU率、住院时间长短等预后的相关性.结果SIRS组患者与非SIRS组相比死亡率明显增加,SIRS分值是多发伤患者入ICU的独立预示因素.白细胞增多(＞12×109/L)最能提示住院时间长短,体温(无论是高温还是低温)最能预示死亡率高低.结论入院SIRS评分操作简单,有独立预测多发伤患者预后的价值.
Objective To seek the relativity of systemic inflammatory response syndrome score at admission and outcome in multiple trauma patients.Methods Data of 915 multiple trauma patients admitted to our emergency trauma centre from January 2000 to December 2003 were collected. SIRS score and ISS (Injury Severity Score) were calculated at admission. Patients were divided into two groups according to SIRS score.We compared the relativity of SIRS score and the rate of mortality,the rate of ICU admission,the length of hospitalization by Logistic regression analysis and linear regression analysis after adjustment of age and ISS score.Results The mortality rate of SIRS score ≥2 group was significantly higher than the non-SIRS group.SIRS score could independently predict the likelihood of admitting to ICU.Leukocytosis could most predict the length of hospitalization and temperature (didn't care whether hyperthermia or hypothermia) could most predict the mortality rate.Conclusions SIRS score at admission is a simple method to independently predict the outcome of multiple trauma patients. [
出处
《中国急救医学》
CAS
CSCD
北大核心
2005年第2期102-104,共3页
Chinese Journal of Critical Care Medicine
