改良早期预警评分对急诊监护室老年患者预后的评估价值  

The prognostic value of modified early warning score of ICU elderly patients in emergency

作　　者：王长远[1] 汤辉[1] 王晶[1] 秦俭[1] 

机构地区：[1]首都医科大学宣武医院急诊科,北京市100053

出　　处：《中国基层医药》2013年第1期37-39,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 研究改良早期预警评分（MEWS）及急性生理和慢性健康状况评估（APACHE Ⅱ）评分对急诊监护室老年患者预后的评估价值。方法 收集急诊监护室老年患者113 例,入院后进行MEWS评分与APACHE Ⅱ评分,比较死亡组和存活组MEWS评分与APACHE Ⅱ评分的差异;分别比较MEWS评分≤3、4～6、7～9、≥10分数段病死率的差异;分析MEWS评分与APACHE Ⅱ评分的相关性。结果 死亡组MEWS评分［（7.91±2.42）分］与APACHE Ⅱ评分［（21.97±4.18）分］均大于存活组［（4.51±2.14）分、（19.53±4.37）分］（t=7.47、2.70,均P〈0.01）;随着MEWS分值增加,病死率升高（P〈0.01）;MEWS评分与APACHE Ⅱ评分具有相关性（r=0.617,P〈0.01）。结论 MEWS评分作为一种简单快捷的评分系统,和APACHE Ⅱ评分一样,能够初步预测急诊老年患者的预后,具有重要的临床应用价值。Objective To study the prognostic value of modified early warning score（MEWS） and Acute Physiology and Chronic Health Evaluation （APACHE Ⅱ） score in emergency ICU elderly patients.Methods 113 elderly patients were collected in emergency ICU,after admission to calculate the MEWS score and APACHE Ⅱ score,the MEWS score and APACHE Ⅱ score difference were compared between death group and survival group.the differences were compared in MEWS score ≤ 3,4～6,7～9,≥ 10 scores groups respectively;analysis of the MEWS score and APACHE Ⅱthe relevance score.the correlation analysis of the MEWS score and APACHE Ⅱscore was given.Results The MEWS（7.91±2.42） point and APACHE Ⅱ （21.9±4.18） point in death group were greater than that in survival group [（4.51±2.14） point,（19.53±4.37） point]（t=7.49,2.70,all P〈0.01）.With MEWS score increasing,the fatality rate rose（P〈0.01）.the MEWS score and APACHE Ⅱ score was correlated（r=0.617,P〈0.01）. Conclusion The MEWS score was a simple and quick scoring system,as well as APACHE Ⅱ,it can predict the prognosis of elderly patients in emergency department,it has important application value.

关 键 词：改良早期预警评分 卫生状况指标 老年人 预后 

分 类 号：R459.7[医药卫生—急诊医学]