智能化急诊病人病情评估系统的构建与应用效果

Establishment and Application of Intelligent Patients Assessment System in Emergency Department

目的:构建智能化急诊病人病情评估系统及其临床应用效果。方法:基于无线网络信息技术,以急诊病人病情分级评估标准、改良早期预警评分量表(MEWS)、创伤患者评分量表(CRAMS)、昏迷评分量表(Glasgow)等评估工具为框架,构建智能化急诊病人病情评估系统。选择本院2017年3月2日-3月10日急诊科就诊患者360例,应用该系统进行病情评估。结果:病情分级分布以Ⅳ级为主,266例,其次为Ⅲ级55例,Ⅱ级39例;疼痛评分1-3分127例,4-6分69例,7-10分1例;MEWS评分0-2分301例,≥3分59例,MEWS评分越大,病情越重,患者收入留观、专科病房、重症监护室的概率增加。结论:智能化急诊病人病情评估系统,实现病情评估、信息记录、收集保存、分析统计等智能化功能,辅助医护人员快速评估病情,值得临床推广。

Objective： To establish intelligent patients assessment system in emergency and describe its clinical application. Methods： Design intelligent patients evaluation system in emergency which is based on the medical information technology, and it is consist of triage standard scale, modified early warning score, CRAMS scale, Glasgow coma scale. Totally, 360 patients who were admitted to the emergency department from March 2nd, 2017 to March 10th, 2017 were recruited, and the system was used to assess the condition. Results： Distribution of urgency level are as belows, 266 cases were triaged to level 4, 55 cases were Triaged to level 3, with only 39 cases were triaged to level 2, Next, pain score of 127 cases ranged from 1-3 points, 69 cases got 4-6 points, only 1 case got 7 points, Last, 301 cases with MEWS score between 0-2 points, and it compared with 59 cases with MEWS score more than 3 points, it shows that patients with higher MEWS score and it had a higher proportion were admitted to observation area, specialist ward and intensive care unit. Conclusion： The system promote the process of condition assessment, information recording, data collection, preservation, analysis and statistics to be more intelligent. It is worthy of clinical application.