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改良早期预警评分系统在预测急诊抢救室患者病情中的应用研究 被引量:25

Application of Modified Early Warning Score System in Predicting the Severity of Patients' Illness in Rescue Room of the Emergency Department
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摘要 目的探讨改良早期预警评分系统(MEWS)在急诊抢救室的应用价值。方法对2012年4月-5月在急诊抢救室就诊的213例患者进行MEWS评分,分析不同分数段患者的分布特点,追踪患者人院后的去向、病情转归及收住专科病房和重症医学科(ICU/CCU)的时间。结果与MEWS得分≥5分的患者相比,MEWS得分〈5分者好转出院、转入专科病房的比例较高,转入ICU/CCU比例低,差异有统计学意义(P〈0.05);不同MEWS评分段患者转入ICU/CCU的时间最短,其次是出院回家,转入专科病房的时间最长,但MEWS得分〈5分者与≥5分者出院、转入专科病房和ICU/CCU时间之间的差异无统计学意义(P〉0.05)。结论MEWS可以预测患者病情变化及严重程度,对医护人员及时采取救护措施、合理安排住院有一定的指导作用,值得推广应用。 Objective To explore the application value of the modified early Warning Score System (MEWS) in the Rescue Room of the Emergency Department. Methods We scored 213 cases of patients in the Rescue Room of the Emergency Department in a hospital of Chengdu City during Apirl and May in 2012, analyzed the distribution characteristics of different grade patients, and tracked patients' admissions, recovery and the time of being shifted to specialized ward or to the ICU/CCU. Results For patients with the MEWS score higher than 5, the rate of being discharged and shifted to specialized ward was higher, while being shifted to the ICU/CCU was lower, compared with patients who had a score higher than 5, and the difference was statistically significant (P 〈 0.05). The shifted time of the patients with different MEWS scores was different: to the ICU/CCU was the shortest, followed by being discharged, and to the specialized ward was the longest. But the differences between the two groups were not statistically significant (P 〉 0.05). Conclusions Definitely, MEWS can predict patients' condition changes and the severity of illness, thus providing certain reference for medical personnel to take timely rescue measures and reasonable arrangement. It is worthy of popularization and application.
作者 任宏飞 刘常清 李继平 REN Hong-fei LIU Chang-qing LI Ji-ping. (1. Nursing Department, West China Hospital; 2. Department of Nursing, West China Medical School; Sichuan University, Chengdu, Sichuan 610041, P. R. China)
出处 《华西医学》 CAS 2013年第10期1601-1604,共4页 West China Medical Journal
关键词 改良早期预警评分 急诊 应用分析 Modified Early Warning Score System Emergency Predicting illness
作者简介 任宏飞(1988-),女,河南平顶山人,在读硕士,E—mail:renhongfeil988@126.com 【通讯作者】李继平,E-mail:jp-li@163.com
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