病情评估系统在急诊科应用的研究进展

The research progress of the physiologic scoring systems in the emergency department application

本文介绍了目前急诊科应用的几种病情评估系统。早期预警评分系统由最初的早期预警评分逐步发展形成了由改良早期预警评分等组成的系统,利用病床旁测量到的常规生理指标进行评分且能良好反映病死率而被广泛应用。将SpO2引入评分系统而提出的ViEWS和ViEWS-L进一步提高了性能。快速急诊内科评分对判断急诊内科危重患者病情和预后具有重要价值。Mainz急诊评分系统用于分流转诊和采取相应医护措施,尤其是急危重患者的抢救。简单临床评分更适用于急诊患者的早期预后评估。HOTEL评分则利于卫生机构内及时分流和处置患者。分析表明急诊科评分系统需具备操作简便、床旁获得、预测短期结果、比拟ICU评分的特点,SpO2监测普及和纳入评分系统提高了其灵敏性和特异性,仍需大量研究加以完善。

This article mainly introduced application of the several condition evaluation system of emergency department. Early warning scoring system formed by the original early warning score gradually developed a system composed of modified early warning score etc, using the bedside and the conventional physiological indexes measured score good reaction rate and is widely used. Introducing Sp O2 scoring system and put forward Vi EWS and Vi EWS-L to further improve the performance. Rapid emergency medicine score to determine the emergency medical condition and prognosis is of important value in critical patients.The Mainz emergency evaluayion system used in shunt referral and take appropriate care measures, especially the urgent rescue of critically ill patients.Simple clinical score more applicable to the early prognosis of patients with emergency assessment. HOTEL distribution and treatment of patients in time is needed for health institutions. Analysis shows that the emergency scoring system to have simple operation, bed, forecasting short-term results, compare the characteristics of the ICU score, Sp O2 monitoring popularization and incorporated into the scoring system to improve the sensitivity and specificity, a large study still need to be perfected.