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Abnormal ranges of vital signs in children in Japanese prehospital settings

机译: Jfc>日本院前环境儿童的生命体征异常范围

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Aim The revised F ire S ervice L aw obliges each prefectural government in J apan to establish a prehospital acuity scale. The F oundation for A mbulance S ervice D evelopment ( FASD ) created an acuity scale for use as a reference. Our preliminary survey revealed that 32 of 47 prefectures directly applied the FASD scale for children. This scale shows abnormal ranges of heart rate and respiratory rate in young children. This study aimed to evaluate the validity of the abnormal ranges on the FASD scale to assess its overall performance for triage purposes in paediatric patients. Methods We evaluated the validity of the ranges by comparing published centile charts for these vital signs with records of 1,296 ambulance patients. Results A large portion of the abnormal ranges on the scale substantially overlapped with the normal centile charts. Triage decisions using the FASD scale of vital signs properly classified 22% (n ?=?287) of children. The sensitivity and specificity for high urgency were as high as 91% (95% confidence interval, 82–96%) and as low as 18% (95% confidence interval, 16–20%). Conclusion We found there is room for improvement of the abnormal ranges on the FASD scale.
机译:目的修订后的服务法律规定日本的每个县政府有义务建立院前视力表。救护车服务基础(FASD)创建了一个视力表,以作为参考。我们的初步调查显示,在47个州中,有32个直接将FASD量表应用于儿童。该量表显示了幼儿的心率和呼吸率异常范围。这项研究旨在评估FASD量表上异常范围的有效性,以评估其在儿科患者中进行分类的总体表现。方法我们通过比较公布的这些生命体征的百分图和1,296名救护车患者的记录来评估范围的有效性。结果比例尺上的大部分异常范围与正常的百分位图基本重叠。使用FASD生命体征量表进行的分流决策正确分类了22%(n = 287)的儿童。高紧迫性的敏感性和特异性高达91%(95%置信区间82-96%)和18%(95%置信区间16-20%)。结论我们发现FASD量表的异常范围仍有改善的空间。

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