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改良早期预警评分在急诊内科的应用 被引量：74

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摘要 目前大多数情况下，医护人员对急诊患者的病情判断还主要是凭临床经验和“直觉”，而这并不利于科学规范地开展医疗工作。因此在急诊科中推广更简便、实用的病情评价系统十分必要^[1]，此时MEWS（评分标准见表1）应运而生。危重病病情评价系统的研究是当今危重症医学研究的新领域^[2]。本研究采用MEWS对急诊内科患者进行评分并进行追踪，评估和验证MEWS在急诊内科的适用性及可行性。
作者 林良友 林海燕
机构地区 广州医学院附属广州市第一人民医院急诊科
出处 《中华急诊医学杂志》 CAS CSCD 北大核心 2010年第1期92-93,共2页 Chinese Journal of Emergency Medicine
关键词 急诊内科 评分标准 早期预警 病情评价系统 改良 MEWS 临床经验 病情判断
分类号 R459.7 [医药卫生—急诊医学] R129 [医药卫生—环境卫生学]
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参考文献11

  • 1邓跃林.早期识别“急诊潜在危重患者”新方法[J].中国医学论坛报,2006-11-23(24).
  • 2杨径,孟新科,申群喜,邓跃林.APACHEⅢ、SAPSⅡ、MPMⅡ_0与APACHEⅡ在急诊内科危重病人病情评估中的比较[J].中国急救医学,2002,22(2):78-80. 被引量：37
  • 3徐腾达,马遂,于学忠.急诊科拥挤现象的研究[J].中华急诊医学杂志,2008,17(11):1221-1223. 被引量：32
  • 4Austrian College for Emergency Medicine. Access block and overcrowding in emergency departments[ R ]. ACEP, 2004.
  • 5Lilienfeld-Total My, Midgley K, Lieberbacb S, et al. Observation-based early waring scores to detect impending critical illness predict in-hospital and overall survival in patients undergoing allogeneic stem cell transplantation [ J ]. Biology of Blood and Marrow Trasplatation, 2007, 13 (5) : 568-576.
  • 6Gardner-Thorpe J, Love N, Wrightson J, et al. The value of Modified Early Wanting Score(MEWS) in surgical in-patients: a prospective observational study[J]. Annals of the Royal College of Surgeons of England, 2006,88 : 571-575.
  • 7Brown E, Bleetman A. Ambulance alerting to hospital: the need for clearer guidance [ J ]. Emergency Medicine Journal, 2006, 23 (10) : 1472-0205.
  • 8Burch VC, Tarr G, Morroni C. Modified early warning score predicts the need for hospital admission and inhospital mortality[J]. Emergency Medicine Journal, 2008,25(10) :674-678.
  • 9Armagan E, Yilmaz Y, Olmez OF, et al. Predictive value of the modified early warning score in a turkish emergency department[J]. European Journal of Emergency Medicine, 2008,15(6) :338-340.
  • 10Subbe CP, Slater A, Menon D, et al. Validation of physiological scoring systems in the accident and emergency department[J]. Emergency Medicine Journal, 2006,23 ( 11 ) : 841-845.

二级参考文献32

  • 1Austrian College for Emergency Medicine. Access block and overcrowding in emergency departments[ R]. ACEP, 2004.
  • 2IOM. IOM report: the future of emergency care in the United States health system[J]. Acad Emerg Med,2006,13(10) : 1081-1085.
  • 3Hwang U, Concato J. Care in the emergency department: how crowded is overcrowded? [ J]. Acad Emerg Med,2004,11 (10) : 1097-1101.
  • 4Agrawal S. Emergency department crowding: an ethical perspective[J]. Acad Emerg Med, 2007,14 ( 8 ) : 750-751.
  • 5McCaig LF, Burt CW. National hospital ambulatory medical care survey: 2003 emergency department summary[ R]. Advanced data from vital and health statistics; no. 358. Hyattsville (Md)7 National Center for Health Statistics, 2005.
  • 6American College of Emergency Physicians. Emergency medicine statistical profile[ EB/OL]. Available at: www. acep. org. Accessed 2006- 06-23.
  • 7Derlet RW, Richards JR. Overcrowding in the nation's emergency departments: complex causes and disturbing effects[ J]. Ann Emerg Med, 2000,35 ( 1 ) : 63-68.
  • 8Chisholm CD, Collison EK, Nelson DR, et al. Emergency department workplace interruptions: Are emergency physicians "interrupt-driven" and "multitasking" ? [ J ]. Acad Emerg Med, 2000,7 ( 11 ) : 1239-1243.
  • 9Pines JM, Garson C, Baxt WG, et al. ED crowding is associated with variable perceptions of care compromise[J]. Acad Emerg Med,2007,14 (12) : 1176-1181.
  • 10Cowan RM, Trzeciak S. Clinical review: emergency department overcrowding and potential impact on critical ill[J]. Critical Care, 2005,9 (3) :291-295.

共引文献221

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引证文献74

二级引证文献812

中华急诊医学杂志
2010年 第1期

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