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校正改良早期预警评分结合疼痛评分在急诊内科患者预后评估中的价值 被引量:23

Modified Early Warning Score System with Pain Score System in Internal Emergency Department
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摘要 目的探讨校正改良早期预警评分(MEWS)结合疼痛评分在急诊内科患者预后评估的应用价值。方法选取2012年5月1日—12月1日就诊于我院急诊内科的13 125例患者,进行校正MEWS及疼痛评分,评估患者危重级别,分析病情转归。结果 13 125例患者中,门诊治疗好转离院2 405例,占18.32%;急诊留观5 675例,占43.24%,专科病房住院3 750例,占28.57%;ICU住院1 221例,占9.30%;抢救室死亡74例,占0.57%。Ⅰ级、Ⅱ级、Ⅲ级、Ⅳ级、Ⅴ级患者病死率比较,差异均有统计学意义(χ2=11 853.54,P=0.000);其中Ⅱ级、Ⅲ级、Ⅳ级、Ⅴ级较Ⅰ级降低,Ⅲ级、Ⅳ级、Ⅴ级较Ⅱ级降低,Ⅳ级、Ⅴ级较Ⅲ级降低,Ⅴ级较Ⅳ级降低,差异有统计学意义(P<0.05)。结论校正MEWS结合疼痛评分系统能更好地反应患者病情,能快速评估患者危重级别,值得在急诊内科推广应用。 Objective To evaluate the application of modified early warning score (MEWS) system with pain score system in internal emergency department. Methods A MEWS with pain score was performed in 13 125 patients admitted to the intemal emergency department of this hospital to evaluate the patients' acuity levels and analyze the outcome. Results A total of 2 405 patients were cured and left hospital ( 18.32% ), 5 675 needed emergency observation (43.24%), 3 750 transferred to wards for treatment (28.57%), 1 221 to ICU (9. 30% ), 74 died in emergency rooms (0. 57% ). There was significant differ-ence in mortality rate between patients at grades Ⅰ,Ⅱ,Ⅲ,Ⅳ,Ⅴ (X^2 = 11 853.54, P = 0. 000) ; thereinto lower in pa-tients at grades Ⅱ, Ⅲ, Ⅳ, Ⅴ than in those at grade Ⅰ, the difference was significant ( P 〈 0. 05 ) ; lower in patients at grades Ⅲ, Ⅳ, Ⅴ than in those at grade Ⅱ (P 〈 0.05) ; lower in patients at grades Ⅳ, Ⅴ than in those at grade Ⅲ (P 〈 0. 05 ) ; lower in patients at grade V than in those at grade IV (P 〈 0. 05). Conclusion MEWS with pain score system, which can reflex patients' condition better and evaluate patients' acuity levels rapidly, is worth applying in internal emergency depart-ment.
出处 《中国全科医学》 CAS CSCD 北大核心 2013年第17期2028-2029,2032,共3页 Chinese General Practice
关键词 校正改良早期预警评分 疼痛评分 急诊室 医院 Modified early warning score Pain score Emergency service, hospital
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