Consistency Analysis of JumpSTART Triage System and Injury Severity Score for Mass Casualties Including Children_West China Medical Journal

Authors：

SHENG Jie ,  HU Hai.

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

Corresponding author：

HU Hai., Email: 412649924@qq.com

Keywords：

JumpSTART检伤分类程序; 损伤严重度评分; 群体伤

DOI：

10.7507/1002-0179.20130418

Video：

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目的　探讨适用于儿童的JumpSTART检伤分类程序在大型车祸所致的含儿童群体伤中，对患儿受伤严重程度评估的实践意义。方法　回顾性分析2010年12月－2012年12月因大型车祸所致群体伤（3例以上伤员，至少含1例14岁以下儿童）就诊的20例患儿的病历资料。入急诊时对患儿行JumpSTART检伤分类程序，入院确诊后行国际公认的能较准确反映伤情严重程度的损伤严重度评分（ISS）。比较两种评估方法的一致性。结果　 JumpSTART检伤分类程序与ISS评分一致性较好（Kappa=0.474，P=0.003）。结论　JumpSTART检伤分类程序可在含儿童的群体伤医疗急救时，初步评估患儿伤情严重度，从而进行检伤分类。

Citation： SHENG Jie,HU Hai.. Consistency Analysis of JumpSTART Triage System and Injury Severity Score for Mass Casualties Including Children. West China Medical Journal, 2013, 28(9): 1333-1335. doi: 10.7507/1002-0179.20130418 Copy

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2.	冯庚. 院前急救预案: 现场急救攻防策略[M]. 北京: 中国协和医科大学出版社, 2010: 508-517.
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5.	Mace SE, Bern AI. Needs assessment: are disaster medical assistance teams up for the challenge of a pediatric disaster?[J]. Am J Emerg Med, 2007, 25(7): 762-769.
6.	Romig LE. Pediatric triage. A system to JumpSTART your triage of young patients at MCIs[J]. JEMS, 2002, 27(7): 52-58, 60-63.
7.	Asaeda G. The day that the START triage system came to a STOP: observations from the world trade center disaster[J]. Acad Emerg Med, 2002, 9(3): 255-256.
8.	赵伟. 灾害救援现场的检伤分类方法-评述院外定性与定量法[J]. 中国急救复苏与灾害医学杂志, 2007, 2(5): 291-294.
9.	程学明, 陈维庭, 李永清. 介绍创伤评分的最新版AIS-90[J]. 中华创伤杂志, 1999, 8(2): 122-123.
10.	Greenspan L, McLellan BA, Greig H. Abbreviated injury scale and injury severity score: a scoring chart[J]. J Trauma, 1985, 25(1): 60-64.
11.	Sasser SM, Hunt RC, Sullivent EE, et al. Guidelines for field triage of injured patients. Recommendations of the national expert panel on field triage[J/OL]. MMWR, 2009, 58(RR01): 1-35[2013-05-25]. http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5801a1.htm.
12.	王洁贞, 赵跃进, 马会妍, 等. Kappa统计量及其应用[J]. 中国卫生统计, 1995, 12(6): 49-50.
13.	羊建华, 唐元萍. 637例儿童意外伤害原因分析及预防探讨[J]. 右江民族医学院学报, 2008, 30(3): 447-448.
14.	Hegazy SM, El-Sayed LA, Ahmed TY. Avoiding pitfalls in trauma triage: effect of nursing staff development[J]. N Y Sci J, 2012, 5(1): 44-52.
15.	冯庚. 院前急救时的检伤分类-定量分析方法及程序[J]. 中国全科医学, 2012, 15(2): 575-576.
16.	Cicero MX, Auerbach MA, Zigmont J, et al. Simulation training with structured debriefing improves residents’ pediatric disaster triage performance[J]. Prehosp Disaster Med, 2012, 27(3): 239-244.
17.	Baker SP, O’Neill B, Haddon W, et al. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care[J]. J Trauma, 1974, 14(3): 187-196.
18.	尹国强, 郝进芳, 干建新, 等. 多发伤损伤严重度评分与C反应蛋白及其血清酶学的相关性分析[J]. 中华创伤杂志, 2002, 18(7): 434-435.
19.	殷刚, 马建东, 丁磊, 等. 518例骨盆骨折患者生存概率基本特征分析[J]. 宁夏医科大学学报, 2012, 34(12): 1294-1296.
20.	孟新科. 急危重症评分[M]. 北京: 人民卫生出版社, 2008: 60-63.
21.	Jenkins JL, McCarthy ML, Sauer LM, et al. Mass-casualty triage: time for an evidence-based approach[J]. Prehosp Disaster Med, 2008, 23(1): 3-8.

1. 　Lenert LA, Kirsh D, Griswold WG, et al. Design and evaluation of a wireless electronic health records system for field care in mass casualty settings[J]. J Am Med Inform Assoc, 2011, 18(6): 842-852.
2. 　冯庚. 院前急救预案: 现场急救攻防策略[M]. 北京: 中国协和医科大学出版社, 2010: 508-517.
3. 　胡海, 杜鑫淼, 蒋臻, 等. 院前急救中两种创伤评分法对急性酒精中毒合并外伤性颅内出血患者的评估作用[J]. 华西医学, 2009, 24(8): 1929-1931.
4. 　胡海, 张建成, 曹钰, 等. APACHEII评分在心肺复苏自主循环恢复患者早期死亡预测中的作用[J]. 中国急救复苏与灾害医学杂志, 2010, 5(3): 230-231.
5. 　Mace SE, Bern AI. Needs assessment: are disaster medical assistance teams up for the challenge of a pediatric disaster?[J]. Am J Emerg Med, 2007, 25(7): 762-769.
6. 　Romig LE. Pediatric triage. A system to JumpSTART your triage of young patients at MCIs[J]. JEMS, 2002, 27(7): 52-58, 60-63.
7. 　Asaeda G. The day that the START triage system came to a STOP: observations from the world trade center disaster[J]. Acad Emerg Med, 2002, 9(3): 255-256.
8. 　赵伟. 灾害救援现场的检伤分类方法-评述院外定性与定量法[J]. 中国急救复苏与灾害医学杂志, 2007, 2(5): 291-294.
9. 　程学明, 陈维庭, 李永清. 介绍创伤评分的最新版AIS-90[J]. 中华创伤杂志, 1999, 8(2): 122-123.
10. 　Greenspan L, McLellan BA, Greig H. Abbreviated injury scale and injury severity score: a scoring chart[J]. J Trauma, 1985, 25(1): 60-64.
11. 　Sasser SM, Hunt RC, Sullivent EE, et al. Guidelines for field triage of injured patients. Recommendations of the national expert panel on field triage[J/OL]. MMWR, 2009, 58(RR01): 1-35[2013-05-25]. http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5801a1.htm.
12. 　王洁贞, 赵跃进, 马会妍, 等. Kappa统计量及其应用[J]. 中国卫生统计, 1995, 12(6): 49-50.
13. 　羊建华, 唐元萍. 637例儿童意外伤害原因分析及预防探讨[J]. 右江民族医学院学报, 2008, 30(3): 447-448.
14. 　Hegazy SM, El-Sayed LA, Ahmed TY. Avoiding pitfalls in trauma triage: effect of nursing staff development[J]. N Y Sci J, 2012, 5(1): 44-52.
15. 　冯庚. 院前急救时的检伤分类-定量分析方法及程序[J]. 中国全科医学, 2012, 15(2): 575-576.
16. 　Cicero MX, Auerbach MA, Zigmont J, et al. Simulation training with structured debriefing improves residents’ pediatric disaster triage performance[J]. Prehosp Disaster Med, 2012, 27(3): 239-244.
17. 　Baker SP, O’Neill B, Haddon W, et al. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care[J]. J Trauma, 1974, 14(3): 187-196.
18. 　尹国强, 郝进芳, 干建新, 等. 多发伤损伤严重度评分与C反应蛋白及其血清酶学的相关性分析[J]. 中华创伤杂志, 2002, 18(7): 434-435.
19. 　殷刚, 马建东, 丁磊, 等. 518例骨盆骨折患者生存概率基本特征分析[J]. 宁夏医科大学学报, 2012, 34(12): 1294-1296.
20. 　孟新科. 急危重症评分[M]. 北京: 人民卫生出版社, 2008: 60-63.
21. 　Jenkins JL, McCarthy ML, Sauer LM, et al. Mass-casualty triage: time for an evidence-based approach[J]. Prehosp Disaster Med, 2008, 23(1): 3-8.

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Consistency Analysis of JumpSTART Triage System and Injury Severity Score for Mass Casualties Including Children

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