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首页> 外文期刊>International Journal of Environmental Research and Public Health >Pediatric Canadian Triage and Acuity Scale (PaedsCTAS) as a Measure of Injury Severity
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Pediatric Canadian Triage and Acuity Scale (PaedsCTAS) as a Measure of Injury Severity

机译:加拿大儿科分诊和敏锐度量表(PaedsCTAS)作为损伤严重程度的量度

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This research explored whether the pediatric version of the Canadian Triage Acuity Scale (PaedsCTAS) represented a valid alternative indicator for surveillance of injury severity. Every patient presenting in a Canadian emergency department is assigned a CTAS or PaedsCTAS score in order to prioritize access to care and to predict the nature and scope of care that is likely to be required. The five-level PaedsCTAS score ranges from I (resuscitation) to V (non-urgent). A total of 256 children, 0 to 17-years-old, who attended a pediatric hospital for an injury were followed longitudinally. Of these children, 32.4% ( n = 83) were hospitalized and 67.6% ( n = 173) were treated in the emergency department and released. They completed the PedsQL TM , a validated measure of health related quality of life, at baseline (pre-injury status), one-month, four- to six-months, and 12-months post-injury. In this secondary data analysis, PaedsCTAS was found to be significantly associated with hospitalization and length of stay, sensitive to the differences between PaedsCTAS II and III, and related to physical but not psychosocial HRQoL. The findings suggest that PaedsCTAS may be a useful proxy measure of injury severity to supplement or replace hospitalization status and/or length of stay, currently proxy measures.
机译:这项研究探讨了儿科的加拿大分流敏锐度量表(PaedsCTAS)是否可以作为监测损伤严重程度的有效替代指标。为加拿大急诊科中的每位患者分配CTAS或PaedsCTAS评分,以优先考虑获得护理的机会并预测可能需要的护理的性质和范围。五级PaedsCTAS评分范围从I(复苏)到V(非紧急)。纵向随访了256名0至17岁的儿童,他们因受伤而在儿科医院就诊。在这些儿童中,有32.4%(n = 83)入院,有67.6%(n = 173)在急诊科接受治疗并获释。他们在基线(受伤前状态),受伤后一个月,四个月至六个月以及受伤后十二个月内完成了PedsQL TM,这是一种经过验证的健康相关生活质量的量度。在此辅助数据分析中,发现PaedsCTAS与住院和住院时间显着相关,对PaedsCTAS II和III之间的差异敏感,与身体而非心理HRQoL相关。研究结果表明,PaedsCTAS可能是损伤严重程度的有用替代指标,以补充或替代住院状态和/或住院时间,目前是替代指标。

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