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首页> 外文期刊>Canadian Journal of Emergency Medicine >The SCRAP rule: The Derivation and Internal Validation of a Clinical Decision Rule for Computed Tomography of the Chest in Blunt Thoracic Trauma
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The SCRAP rule: The Derivation and Internal Validation of a Clinical Decision Rule for Computed Tomography of the Chest in Blunt Thoracic Trauma

机译：SCRAP规则：钝性胸外伤胸部计算机断层扫描的临床决策规则的推导和内部验证

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Objective:To derive and internally validate a clinical decision rule that will rule out major thoracic injury in adult blunt trauma patients, reducing the unnecessary use of chest computed tomographic (CT) scans.Methods:Data were retrospectively obtained from a chart review of all trauma patients presenting to a Canadian tertiary trauma care centre from 2005 to 2008, with those from April 2006 to March 2007 being used for the validation phase. Patients were included if they had an Injury Severity Score > 12 and chest CT at admission or a documented major thoracic injury noted in the trauma database. Patients with penetrating injury, a Glasgow Coma Scale (GCS) score ≤ 8, paralysis, or age 8, the SCRAP variables have a 100% sensitivity for major thoracic injury in this retrospective study. These findings need to be prospectively validated prior to use in a clinical setting.
机译：目的：得出并在内部验证一项临床决策规则，该规则将排除成人钝性创伤患者的主要胸部损伤，从而减少不必要的胸部计算机断层扫描（CT）扫描。方法：从所有创伤的图表回顾中回顾性地获得数据在2005年至2008年期间向加拿大第三级创伤护理中心求诊的患者，并将2006年4月至2007年3月的患者用于验证阶段。如果患者的损伤严重度评分> 12，入院时胸部CT或创伤数据库中记录的重大胸椎损伤，则包括这些患者。在这项回顾性研究中，穿透性损伤，格拉斯哥昏迷量表（GCS）得分≤8，瘫痪或8岁的患者，SCRAP变量对重大胸腔损伤具有100％的敏感性。这些发现需要在临床环境中使用之前进行前瞻性验证。

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