儿童早期预警评估系统在急诊留观室病情观察的现状

Discussion about the status quo of early warning assessment system for children in emergency observation room

目的分析在急诊留观室中早期预警评分系统对患儿病情观察的作用。方法采用儿童预警评分系统对2018年9—10月来泉州市妇幼保健院·儿童医院急诊留观的560名患儿进行病情评估,根据评分和患儿最后去向,分析儿童早期预警评估对收住重症监护室的作用。结果患儿的儿童早期预警评估表(PEWS)评分与最后去向呈正相关,Pearson相关系数为0.509,差异有统计学意义,ROC曲线下面积为0.953,可信区间为0.922~0.985(P<0.05),最佳临界分值为2.5分。结论早期预警评分系统在发现危重或有潜在危重患儿方面具有一定意义。

Objective To analyze the function of early warning assessment system for children in emergency observation room.Methods A total of 560 children under observation admitted to the department of emergency in Quanzhou Women’s and Children’s Hospital from September to October 2018 were evaluated on early warning assessment system for children.Meanwhile,according to the score and the final destination of children,the function of early warning assessment on admission to intensive care unit was analyzed.Results The PEWS score was positively correlated with the final destination,and Pearson correlation coefficient was 0.509,with statistically significant difference.The area under ROC curve was 0.953,the confidence interval was 0.922-0.985(P<0.05),and the optimal critical score was 2.5 points.Conclusion The early warning assessment system has certain significance in finding critical or potentially critical children with illness.