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首页> 外文期刊>Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine >The formation and design of the TRIAGE study - baseline data on 6005 consecutive patients admitted to hospital from the emergency department
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The formation and design of the TRIAGE study - baseline data on 6005 consecutive patients admitted to hospital from the emergency department

机译：TRIAGE研究的形成和设计-急诊科连续住院的6005例患者的基线数据

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Background Patient crowding in emergency departments (ED) is a common challenge and associated with worsened outcome for the patients. Previous studies on biomarkers in the ED setting has focused on identification of high risk patients, and and the ability to use biomarkers to identify low-risk patients has only been sparsely examined. The broader aims of the TRIAGE study are to develop methods to identify low-risk patients appropriate for early ED discharge by combining information from a wide range of new inflammatory biomarkers and vital signs, the present baseline article aims to describe the formation of the TRIAGE database and characteristize the included patients. Methods We included consecutive patients ≥ 17 years admitted to hospital after triage staging in the ED. Blood samples for a biobank were collected and plasma stored in a freezer (?80 °C). Triage was done by a trained nurse using the Danish Emergency Proces Triage (DEPT) which categorizes patients as green (not urgent), yellow (urgent), orange (emergent) or red (rescusitation). Presenting complaints, admission diagnoses, comorbidities, length of stay, and ‘events’ during admission (any of 20 predefined definitive treatments that necessitates in-hospital care), vital signs and routine laboratory tests taken in the ED were aslo included in the database. Results Between September 5th 2013 and December 6th 2013, 6005 patients were included in the database and the biobank (94.1 % of all admissions). Of these, 1978 (32.9 %) were categorized as green, 2386 (39.7 %) yellow, 1616 (26.9 %) orange and 25 (0.4 %) red. Median age was 62 years (IQR 46–76), 49.8 % were male and median length of stay was 1 day (IQR 0–4). No events were found in 2658 (44.2 %) and 158 (2.6 %) were admitted to intensive or intermediate-intensive care unit and 219 (3.6 %) died within 30 days. A higher triage acuity level was associated with numerous events, including acute surgery, endovascular intervention, i.v. treatment, cardiac arrest, stroke, admission to intensive care, hospital transfer, and mortality within 30 days ( p Conclusion The TRIAGE database has been completed and includes data and blood samples from 6005 unselected consecutive hospitalized patients. More than 40 % experienced no events and were therefore potentially unnecessary hospital admissions.
机译：背景技术急诊科（ED）中的患者拥挤是一个普遍的挑战，并且与患者预后恶化有关。先前在ED环境中对生物标志物的研究集中于鉴定高危患者，并且仅对稀疏检查了使用生物标志物鉴定低危患者的能力。 TRIAGE研究的更广泛的目标是通过结合来自各种新的炎症生物标志物和生命体征的信息，开发鉴定适合早期ED出院的低风险患者的方法，本基准文章旨在描述TRIAGE数据库的形成并表征所包括的患者。方法我们纳入了在ED中分诊后入院的≥17岁的连续患者。收集生物库的血样并将血浆保存在冰箱（约80°C）中。由受过训练的护士使用丹麦紧急程序分类（DEPT）进行分类，该分类将患者分为绿色（非紧急），黄色（紧急），橙色（紧急）或红色（复苏）。在数据库中还包括陈述投诉，入院诊断，合并症，住院时间和入院期间的“事件”（急诊室采取的20种预定义的最终治疗方法中的任何一种都需要住院治疗），生命体征和常规实验室检查。结果2013年9月5日至2013年12月6日，数据库和生物库中共纳入6005例患者（占所有入院人数的94.1％）。其中1978年（32.9％）被分类为绿色，2386（39.7％）黄色，1616（26.9％）橙色和25（0.4％）红色。中位年龄为62岁（IQR 46–76），男性为49.8％，中位住院时间为1天（IQR 0–4）。在2658（44.2％）和158（2.6％）的重症或中度重症监护病房中未发现事件，在30天内死亡219（3.6％）。较高的分诊视力水平与许多事件有关，包括急性手术，血管内介入治疗，静脉内注射。治疗，心脏骤停，中风，重症监护，住院转诊和30天内的死亡率（p结论TRIAGE数据库已经完成，其中包括来自6005例未选择的连续住院患者的数据和血液样本。超过40％的患者未发生任何事件，并且因此有可能不必要地住院。

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