改良早期预警评分系统在急诊内科抢救室的临床应用  

Modified Early Warning Score:Clinical Application in Emergency Rescue Rooms of Internal Medical Departments

作　　者：刘春[1] 王霆[1] 蔡丹磊[1] 沈雁波[1] 丁俊华[1] 

机构地区：[1]南通大学附属医院急诊内科,江苏省南通市226001

出　　处：《中国全科医学》2013年第35期4210-4212,共3页Chinese General Practice

摘　　要：目的探讨改良早期预警评分(MEWS)系统对急诊抢救室内科疾病患者病情和预后的评估能力。方法选择2013年3—4月我院急诊抢救室收治的内科疾病患者268例,根据MEWS系统总分将患者分为高分组(≥5分)97例和低分组(0～4分)171例,比较两组患者重症监护病房(ICU)入住率和死亡率;记录不同MEWS系统总分患者去向及30 d转归情况,并分析MEWS系统总分与ICU入住率的相关性。结果低分组中入住ICU者3例、死亡者1例,高分组中入住ICU者61例、死亡者9例,高分组患者ICU入住率及死亡率均高于低分组(P<0.05)。MEWS系统总分为0～2分者98例,3～4分者73例,5～6分者72例,7～8分者13例,≥9分者12例,不同MEWS系统总分患者入住ICU者分别为1、2、39、13、9例,直线相关分析结果显示,MEWS系统总分与ICU入住率呈正相关(r=0.951,P=0.013)。结论 MEWS系统对急诊抢救室内科疾病患者的病情和预后有一定预测能力,值得推广应用。Objective To investigate the evaluation of modified early warning score （MEWS） on the condition and prognosis of patients in rescue rooms of departments of internal medicine. Methods A total of 268 medical patients admitted to this hospital from March to April 2013 were divided, according to MEWS, into groups A （with scores≥5, n = 97）, B （with scores of 0 -4, n = 171 ）. The rates of ICU admission, mortality were compared between 2 groups; the whereabouts and 30 d outcomes of patients with different MEWS total scores were recorded, and the correlation between MEWS total score and ICU ad- mission rate analyzed. Results In group B, 3 patients were admitted to ICU, 1 died; in group A, 61, 9, respectively; the rates of ICU admission, mortality were higher in group A than in group B （P 〈 0. 05 ）. Ninety - eight patients had MEWS total scores of O-2 （1 admitted toICU）, 73 had3-4 （2toICU）, 72 hadS-6 （39toICU）, 13 hadT-8 （13 toICU）, 12 had ≥9 （9 to ICU）. By linear correlation analysis, MEWS total score was positively correlated with ICU admission （r = 0. 951, P = 0. 013）. Conclusion MEWS, having some abilities to predict patients＇condition and prognosis, is worth widely applying.

关 键 词：急诊室 医院 急救医学 改良早期预警评分 预后 

分 类 号：R459.7[医药卫生—急诊医学]