AU2021102430A4

AU2021102430A4 - Classification system and automatic scoring method of condition of adult emergency case

Info

Publication number: AU2021102430A4
Application number: AU2021102430A
Authority: AU
Inventors: Lezhi LI; Zhenyu PENG; Cong Tang; Ting Wang; Huilin Zhang; Jingping Zhang; Aiqun Zhu
Original assignee: Second Xiangya Hospital Of Central South University Changsha
Current assignee: Second Xiangya Hospital Of Central South University Changsha Hunan China
Priority date: 2021-05-10
Filing date: 2021-05-10
Publication date: 2021-07-01
Anticipated expiration: 2029-05-10

Abstract

The invention discloses an classification system and automatic scoring method of the condition of adult emergency case. The system comprises a symptom acquisition module, a pre-judgment module, a first data acquisition module, a second data acquisition module, a first scoring module, a second scoring module, a disease classification module and a data push module; The symptom acquisition module is used to acquire the patient's symptoms; The prediction module predicts critical illness based on patients' symptoms; The first and second data acquisition modules are used to acquire physiological and biochemical index data; The first and second scoring modules obtain the first and second disease scores of patients based on physiological and biochemical index data; The disease classification module obtains the disease grade based on the pre judgment score, the first disease score and the second disease score, and takes the patients with high degree of emergency as the disease grade; The data push module generates a push table based on the disease level and medical resources. The invention can quickly and accurately grade the condition of the emergency case to ensure the critical patients can be treated in time. 1/1 FIGURES Symptom acquisition module Pre-judgment module First data acquisition module Second data acquisition module First scoring module Second scoring module Disease classification module Data push module Figure 1

Description

1/1

FIGURES

Symptom acquisition module

Pre-judgment module

First data acquisition module Second data acquisition module

First scoring module Second scoring module

Disease classification module

Data push module

Figure 1

Classification system and automatic scoring method of condition of adult emergency

case

TECHNICAL FIELD

The invention relates to the technical field of graded diagnosis and treatment, in

particular to an classification system and automatic scoring method of the condition of

adult emergency case.

BACKGROUND

The problem of "emergency is not urgent" is widespread in hospitals, especially in

large hospitals, where a large number of non-emergency patients occupy emergency

resources, which can not be used reasonably. As a result, the "difficulty in seeing a doctor"

in large hospitals becomes more serious, and emergency resources cannot be used

effectively, and even the treatment of critically ill patients may be delayed. However, for

many non-urgent patients, they do not intentionally occupy emergency resources. They

lack relevant professional knowledge and cannot distinguish between urgent and non

urgent diseases. Pre-examination and triage can reduce the occupation of emergency

resources by non-urgent patients, so that these non-urgent patients can go to the clinic to

seek medical treatment consciously, instead of competing for emergency resources with

critical patients. In addition, existing disease grading systems, such as Modified early

warning score, MEWS), acute physiological and chronic health evaluation system II,

systemic inflammatory response syndrome (sirs), have different methods, different

emphases, different indicators, and different applicable groups, which are not suitable for

emergency triage. Therefore, it is particularly necessary to provide a system and method

that can quickly and accurately classify adult emergency conditions.

SUMMARY

The purpose of the present invention is to provide an classification system and

automatic scoring method of the condition of adult emergency case, which solve the

technical problems in the prior art, can quickly and accurately grade and grade emergency

illness, improve the use efficiency of emergency resources, and ensure timely treatment of

critically ill patients with strong applicability.

To achieve the above purpose, the present invention provides the following scheme:

The present invention provides an classification system of adult emergency case, which

comprises a symptom obtaining module, a pre-judging module, a first data acquisition

module, a second data acquisition module, a first scoring module, a second scoring module,

a disease grading module and a data pushing module;

The symptom acquisition module is used for obtaining symptoms of patients;

The pre-judgment module performs pre-judgment on acute and dangerous diseases

based on symptoms of patients, and outputs pre-judgment scores to the disease condition

grading module;

The first data acquisition module is used for acquiring physiological index data of

patients;

The second data acquisition module is used for acquiring biochemical index data of

patients;

The first scoring module acquires the first illness score of the patient based on the

physiological index data of the patient acquired by the first data acquisition module;

The second scoring module acquires the second disease score of the patient based on

the physiological index data of the patient acquired by the first data acquisition module and

the biochemical index data of the patient acquired by the second data acquisition module;

The disease classification module obtains disease grades based on the pre-judgment

score, the first disease score and the second disease score, and inputs the disease grades to

the data push module;

And the data push module generates a visit order push table based on the disease

condition grade and medical resources.

Preferably, the disease grades are divided into acute and critical diseases, acute and

severe diseases, emergency diseases and subacute diseases from heavy to light.

Preferably, when the pre-judgment result of the pre-judgment module is an urgent

disease, the pre-judgment score is a preset score, and the preset score is greater than the

lower limit value of the highest disease grade; Otherwise, the pre-judgment score is zero;

The pre-judgment module also outputs control instructions to the first data acquisition

module and the second data acquisition module; When the pre-judgment result is an acute

disease, the first data acquisition module and the second data acquisition module do not

need to collect patient index data; otherwise, the first data acquisition module and the

second data acquisition module respectively acquire patient physiological data and

biochemical data.

Further, the physiological indexes include one or more of body temperature, pulse,

systolic blood pressure, oxygen saturation, consciousness, breathing, admission mode,

syncope history, disease history, chest pain or chest tightness, complexion, hematochezia

or hematemesis, and cough volume.

Furthermore, the biochemical indexes include one or more of leukocyte count,

platelet, serum creatinine, serum bicarbonate and creatine kinase.

The biochemical index is the index obtained by the detection closest to the visit time.

Preferably, if the pre-judgment score in the disease grading module is non-zero, the

disease grade is urgent; And when the pre-judgment score is zero, inputting the disease

grade with high emergency degree among the disease grades obtained by the first disease

score and the second disease score as the disease grade of the patient to the data push

module.

Additionally, the classification system of adult emergency case further comprises a

display device, which is connected with the disease grading module and the data push

module respectively, and is used for displaying the pre-judgment score, the first disease

score, the second disease score, the disease grade and the visit order push table.

The invention also provide an automatic scoring method for the condition of adult

emergency case, which comprises that following steps:

S1, acquiring patient symptoms, pre-judging acute and dangerous diseases based on

the patient symptoms, and outputting a pre-judgment score; Execute step S3 if the pre

judgment result is critical, otherwise execute step S2; Wherein, when the pre-judgment

result of the pre-judgment module is an acute disease, the pre-judgment score is a preset

score, otherwise, the pre-judgment score is zero;

S2, respectively acquiring physiological index data and biochemical index data of a

patient, acquiring a first illness score of the patient based on the physiological index data,

and acquiring a second illness score of the patient based on the physiological index and

biochemical index data;

S3, obtaining a disease grade based on the pre-judgment score, the first disease score

and the second disease score;

S4, generating a push table of visiting order based on the disease condition grade and

medical resources.

Preferably, in the S3, the disease grade is divided from heavy to light : acute, severe,

emergency and subacute; Among them, when the predicted score is not zero, the disease

grade is acute; When the predicted score is zero, the severity level obtained by the first and

second severity scores is taken as the severity level of the patient with a high degree of

urgency.

The invention discloses the following technical effects:

The invention first obtains the patient 's symptoms by the symptom acquisition

module, and carries out the emergency prediction by the patient 's symptoms, so as to

quickly and accurately classify the condition of the emergency patients without obtaining

the physiological index data and biochemical index data of the emergency patients,

effectively improves the efficiency of the emergency treatment, and enables the emergency

patients to receive timely treatment. Otherwise, the validity and accuracy of the grading

results are effectively improved by double scoring of physiological index data and

biochemical index data and taking the patients with high emergency degree as the disease

grade. The invention also generates a medical order push table based on the condition grade

and medical resources, which is not only convenient for doctors to prepare manpower and

rescue supplies in time, but also can follow the principle of reasonable arrangement of

patients ' medical order from heavy to light, and give priority to the treatment of heavier

patients. It can effectively improve the phenomenon of emergency patients piling up, improve the efficiency of emergency resources, and enable patients to get the most

"suitable" treatment.

BRIEF DESCRIPTION OF THE FIGURES

In order to explain the embodiments of the present invention or the technical scheme

in the prior art more clearly, the drawings needed in the embodiments will be briefly

introduced below. Obviously, the drawings in the following description are only some

embodiments of the present invention, and for ordinary technicians in the field, other

drawings can be obtained according to these drawings without paying creative labor.

Fig. 1 is a schematic structural diagram of the classification system of adult emergency

case of the present invention;

Fig. 2 is a flow chart of the automatic scoring method for adult emergency case

according to the present invention.

DESCRIPTION OF THE INVENTION

The technical scheme in the embodiments of the present invention will be described

clearly and completely with reference to the drawings in the embodiments of the present

invention. Obviously, the described embodiments are only part of the embodiments of the

present invention, not all of them. Based on the embodiments of the present invention, all

other embodiments obtained by ordinary technicians in the field without creative labor

belong to the scope of protection of the present invention.

In order to make the above objects, features and advantages of the present invention

more obvious and easy to understand, the present invention will be further explained in

detail with reference to the drawings and specific embodiments.

As shown in Figure 1, this embodiment provides an adult emergency condition

classification system, including symptom acquisition module, prediction module, first data

acquisition module, second data acquisition module, first scoring module, second scoring

module, disease classification module and data push module. The symptom acquisition

module is connected with the prediction module, and the prediction module is connected

with the first data acquisition module, the second data acquisition module and the disease

classification module respectively. The first data acquisition module is connected with the

first scoring module, the first data acquisition module and the second data acquisition

module are connected with the second scoring module, the first scoring module and the

second scoring module are connected with the disease classification module, and the

disease classification module is connected with the data push module.

Among them, the symptom acquisition module is used to obtain symptoms of patients,

such as cardiac arrest, massive hemoptysis, dyspnea, unconscious, etc.

The prediction module predicts the emergency based on the patient's symptoms, and

outputs the prediction score to the disease classification module according to the prediction

results. When the predicted result is critical, the predicted score is preset, and the preset

score is greater than the lower limit of the highest disease level. Otherwise, the predicted

score is zero. The prediction module also outputs control instructions to the first data

acquisition module and the second data acquisition module. When the prediction result is

critical, the first data acquisition module and the second data acquisition module do not

need to collect the patient index data, otherwise the physiological and biochemical data of

the patient are obtained by the first data acquisition module and the second data acquisition

module. If the patient needs immediate treatment, such as cardiac arrest, priority is given to determining the severity of the emergency patient as a critical illness. If the patient is only prescription, referral, outpatient, the system automatically generates non-emergency.

Therefore, when the predicted results are critical, there is no need to obtain the patient's

index data and calculate the disease score through the first data acquisition module and the

second data acquisition module, which effectively improves the efficiency of emergency

treatment.

The first data acquisition module is used to obtain the physiological index data of

patients. The physiological indexes include body temperature, pulse, systolic blood

pressure, oxygen saturation, consciousness, breathing, admission mode, syncope history,

disease history, chest pain or chest tightness, facial color, hematochezia or hematemesis,

and one or more of hemoptysis. The scores of each physiological index are as follows:

Table 1 Physiological Indexscore index 0 1 2 3 4 5 Be greater than Body 36.0- 38.6-40.5 or equal to 40.6 A. A. A. temperature 38.5 or < 35.9 Be greater

Pulse 60-109 110-149 50-59 150- A. than or equal 179 to 180 or < 49 Contraction 90-169 170-219 or 80- A. < 79 A. > 220 pressure 89 Blood oxygen 93-100 86-92 A. A. 76-85 < 75 saturation Consciousnes Sober Respond to Respond to pain A. A. No response s sound Half- To breathe Respiratory Normal Dyspnea A. sitting A. or breathe condition breathi weakly. ng Admission Self- Be supported by Wheelchair Flat car mode walking others History of A. Have A. A. A. A. syncope

Disease Cardiovascular Have kidney A. and respiratory disease or A. A. A. history diseases malignant tumor

Chest pain or Chest pain or A. Chest tightness chest pain, chest A. A. A. tightness tightness Complexion A. Pale Cyanosis Icterus A. A. Hematochezia or A. A. Hematemesis A. A. A. hematemesis Hemoptysis/2 A. 100 A. 100 A. >300 4h 300

The second data acquisition module is used to obtain the biochemical index data of

patients, and the biochemical index data is the index obtained from the test nearest to the

visiting time; The biochemical indexes include one or more of the white blood cell count,

platelets, blood creatinine, serum bicarbonate, creatine kinase, and the scores of each

biochemical index are as shown in Table 2 :

Table 2 Biochemical Indexscore index 0 1 2 3 4 5 Leukocyte 3.0- 12.00-29.99 or < >30 A. A. A. count 11.99 2.99 Be greater than Blood platelet 100-400 or eq l to Twenty-49.99 < 19.99 A. A. 50-99.99

cr atin<ne 150 150.01-700 700.01-1000 > 1000.01 A. A.

Serum Twenty- 30.01-35 or 10- Less than 10 A. > 35.01 A. bicarbonate 30 19.99 Creatine kinase < 200 200.01-500 500.01-1000 1000.01 A. A. The first scoring module obtains the patient's physiological index data obtained by the module based on the first data, and obtains the patient's first illness score; The second scoring module obtains the patient's second illness score based on the patient's physiological index data obtained by the first data acquisition module and the patient's biochemical index data obtained by the second data acquisition module; The disease classification module obtains the disease level based on the prejudgment score, the first illness score and the second illness score, and enters the disease level into the data push module;

The severity of the disease is divided into: acute crisis, severe severe illness, emergency, sub-emergency; Among them, the pre-judgment score is non-zero, the severity of the disease is acute crisis; When the prejudgment score is zero, the data push module is fed into the first and second disease score, and the high emergency degree of the disease is the patient's condition grade. The calculation of the disease grade based on the score of the first case and the score of the second case is shown in Table 3 and Table 4 respectively. Table 3 Disease level Acute crisis Acute severe Emergency Subemergency

Score 11 Five to ten One to four Zero point _L minutes minutes

Table 4 Disease level Acute crisis Acute severe Emergency Subemergency

Score 13 Six to twelve One to five Zero point _______________L _______________________ minutes _ __________

The data push module generates a referral sequence push table based on the illness

level and medical resources; Through the treatment sequence pushing table, it is not only

convenient for doctors to prepare manpower and rescue supplies in time, but also can

follow the principle of " from heavy to light ", reasonably arrange patients's treatment

sequence, give priority to the heavier patients, can effectively improve the phenomenon of

emergency patients bunching, enhance the use efficiency of emergency resources, so that

patients can get the most " suitable " treatment.

Further optimizing the scheme, the adult emergency medical condition grading system

includes a display device, the display device is a touch liquid crystal display screen, and

the display device is connected with the illness grading module and the data push module

respectively, and is used to display the pre-judgment score, the first illness score, the

second illness score, the illness grade and the order of consultation, so as to facilitate the

patient and medical personnel to see in time.

As shown in Figure 2, this embodiment also provides an automatic scoring method

for the emergency status of adults, including the following steps :

judgment result is critical, otherwise execute step S2; When the pre-judgment result of the

pre-judgment module is an acute disease, the pre-judgment score is a preset score, and the

preset score is greater than the lower limit value of the acute disease; otherwise, the pre

judgment score is zero.

biochemical index data;

and the second disease score;

The disease grade is divided into: acute and critical disease, acute and severe disease,

emergency disease and subacute disease; Among them, if the pre-judgment score is non

zero, the disease grade is urgent; And when the pre-judgment score is zero, taking the

disease grade with high emergency degree as the disease grade of the patient among the

disease grades obtained by the first disease score and the second disease score.

medical resources.

The embodiment described above is only a description of the preferred method of the

invention, is not a limitation of the scope of the invention, and, subject to the design spirit

of the invention, all variations and improvements made by ordinary technical personnel in the field to the technical scheme of the invention shall fall within the scope of protection determined in the claim for the invention.

Claims

THE CLAIMS DEFINING THE INVENTION ARE AS FOLLOWS:

1. An classification system of adult emergency case, characterized by comprising a

symptom acquisition module, a pre-judgment module, a first data acquisition module, a

second data acquisition module, a first scoring module, a second scoring module, a disease

classification module and a data push module;

The symptom acquisition module is used for obtaining symptoms of patients;

The pre-judgment module performs pre-judgment on acute and dangerous diseases based

on symptoms of patients, and outputs pre-judgment scores to the disease condition grading

module;

The first data acquisition module is used for acquiring physiological index data of patients;

patients;

The second scoring module acquires the second disease score of the patient based on the

physiological index data of the patient acquired by the first data acquisition module and

The disease classification module obtains disease grades based on the pre-judgment score,

the first disease score and the second disease score, and inputs the disease grades to the

data push module;

And the data push module generates a visit order push table based on the disease condition

grade and medical resources.

2. The classification system of adult emergency case according to claim 1, which is

characterized in that the disease grades are divided into acute and critical diseases, acute

and severe diseases, emergency diseases and subacute diseases from heavy to light.

3. The classification system of adult emergency case according to claim 2, wherein when

the pre-judgment result of the pre-judgment module is an urgent disease, the pre-judgment

score is a preset score, and the preset score is greater than the lower limit value of the

highest disease grade; Otherwise, the pre-judgment score is zero; The pre-judgment module

also outputs control instructions to the first data acquisition module and the second data

acquisition module; When the pre-judgment result is an acute disease, the first data

acquisition module and the second data acquisition module do not need to collect patient

index data; otherwise, the first data acquisition module and the second data acquisition

module respectively acquire patient physiological data and biochemical data.

4. The classification system of adult emergency case according to claim 1, wherein the

physiological indexes include one or more of body temperature, pulse, systolic blood

disease history, chest pain or chest tightness, complexion, hematochezia or hematemesis,

and cough volume.

5. The classification system of adult emergency case according to claim 1, wherein the

biochemical indexes include one or more of leukocyte count, platelet, serum creatinine,

serum bicarbonate and creatine kinase.

6. The classification system of adult emergency case according to claim 1, characterized in

that the biochemical index is the index obtained by the detection closest to the visit time.

7. The classification system of adult emergency case according to claim 1, characterized in

that if the pre-judgment score in the disease grading module is non-zero, the disease grade

is urgent; And when the pre-judgment score is zero, inputting the disease grade with high

emergency degree among the disease grades obtained by the first disease score and the

second disease score as the disease grade of the patient to the data push module.

8. The classification system of adult emergency case according to claim 1, wherein the

classification system of adult emergency case further comprises a display device, which is

connected with the disease grading module and the data push module respectively, and is

used for displaying the pre-judgment score, the first disease score, the second disease score,

the disease grade and the visit order push table.

9. The invention relates to an automatic scoring method for adult emergency conditions,

which is characterized by comprising the following steps:

S1, acquiring patient symptoms, pre-judging acute and dangerous diseases based on the

patient symptoms, and outputting a pre-judgment score; Execute step S3 if the pre

score, otherwise, the pre-judgment score is zero;

S2, respectively acquiring physiological index data and biochemical index data of a patient,

acquiring a first illness score of the patient based on the physiological index data, and

acquiring a second illness score of the patient based on the physiological index and

biochemical index data;

S3, obtaining a disease grade based on the pre-judgment score, the first disease score and

the second disease score;

medical resources.

10. The automatic scoring method for adult emergency disease according to claim 9,

characterized in that in S3, the disease grade is divided into acute, severe, urgent and

subacute; Among them, if the pre-judgment score is non-zero, the disease grade is urgent;

And when the pre-judgment score is zero, taking the disease grade with high emergency

degree as the disease grade of the patient among the disease grades obtained by the first

disease score and the second disease score.

FIGURES 1/1

Figure 1