完善后的预警评分分析法对急诊潜在危重症患者的预测效果

Preditive value of modified early warning score for emergency potential in critically ill patients

目的探讨完善后的预警评分（MEWS）分析法预测急诊潜在危重症患者的可行性研究。方法对急诊科与抢救室298例患者进行MEWS评分法评测，对MEWS不同分值的急诊心肺复苏、重症监护室与专科普通病房所收住的患者、门诊治疗、出院〈1个月、出院≥1个月、转上级医院、死亡的构成比进行分析，并对所有患者进行预后追访。结果MEWS不同分值患者接受不同处置方式的概率比较差异有统计学意义（）（2=258．697，P〈0．001）；预后情况比较差异有统计学意义（X^2=115．938，P〈0．001）；患者病情与MEWS的分值成正相关（r=0．848，P〈0．001）。结论MEWS于急诊潜在危重症患者的预测上具有可行性，可作为急诊评估专用系统进行推广。

Objective To investigate the predictive value of modified early warning score （MEWS） in predicting emergency potential in critically ill patients and its feasibility. Methods A total of 298 patients in the emergency department and emergency room were evaluated using the MEWS. The distribution of transfer to cadiopulmanary resuscitation （CPR） , intensive care unit （ ICU ） and high dependency unit （ HDU ） , length of hospital stay （more than 1 month or not） and transferred to advanced hospital, death were recorded, and all patients were followed up. Results Patients with different MEWS were treated significantly differently （X2 = 258. 697 ,P 〈 0. 001 ）, and their prognosis were also significantly different （ X2 = 115. 938, P 〈 0. 001 ）. the condition of patiens were significantly correlated with MEWS （ r =0. 848 ,P 〈0. 001 ）. Conclusion The MEWS in the prediction of potential in critically ill patients in emergency department is feasible as a special emergency assessment system and is recommended for promotion.