改良早期预警评分对急诊脓毒症患者的预测价值被引量：9

Predictive value of the modified early warning score for septic patients in emergency department

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摘要目的：评价改良早期预警评分（MEWS）预测急诊脓毒症患者预后的价值。方法：回顾分析2009年10月至2012年11月入住广东省中医院芳村分院ICU科98例脓毒症患者的临床资料．计算MEWS及APACHEⅡ评分，通过受试者工作特征曲线（ROC）分析评价对住院病死率的预测效力，通过Spearman检验分析两者相关性及分别与ICU住院时间的相关性。结果：患者的MEWS与APACHEⅡ评分具有相关性（rp=0．266，P=0．008），APACHEⅡ评分对急诊脓毒症患者住院死亡有预测价值（95％CI：0．656—0．875，P=0．000），而MEWS则对患者住院死亡预测不足（95％CI：0．497～0．787，P=0．061）。存活者的ICU住院时间与APACHEⅡ评分（rp=0．273，P=0．014）及MEWS评分（rp=0．383，P=0．000）都具有相关性。结论：MEWS尚不足以作为急诊脓毒症患者病情的预测工具。 Objective To assess the prognostic ability of the modified early warning score （MEWS） for septic patients in emergency department. Methods We retrospectively collected 98 cases of septic patients admitted to ICU in Guangdong Province Hospital of TCM Fangcun branch from October 2009 to November 2012. The MEWS and APACHE Ⅱ score were calculated for each patient and were used to predict in-hospital mortality by ROC analysis. The correlation of the two score systems and their corresponding correlations with the length of stay in ICU were analyzed by Spearman test. Results There was a correlation between the MEWS and APACHE Ⅱ score of patients （rp = 0.266,P = 0.008）. APACHE 11 score of patients showed the predictive value of inhospital mortality for septic patients in emergency department （95%CI：0.656 -0.875,P = 0.000）, but not the MEWS（95%CI：0.497 - 0.787,P = 0.061）. The length of stay in ICU of the survival group had correlations with APACHE Ⅱ score （rp = 0.273,P = 0.014）and the MEWS （rp = 0.383,P = 0.000）.Conclusion MEWS could not be used to predict the prognosis of septic patients in emergency department.

作者杨时鸿郑杰超仉玮杨瑞玲庞嶷

机构地区广东省中医院广州市第十二人民医院香港浸会大学仁济医院

出处《实用医学杂志》 CAS 北大核心 2015年第1期98-100,共3页 The Journal of Practical Medicine

基金广东省中医药局建设中医药强省科研课题基金资助(编号:20131200)

关键词脓毒症改良早期预警评分 APACHEⅡ 急诊预后评价 Sepsis Modified early warning score Acute physiology and chronic health evaluation scoring system Ⅱ Emergency Prognosis evaluation

分类号 R459.7 [医药卫生—急诊医学]

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