重要性早期预警评分预测急性冠脉综合征住院患者心脏骤停效果评价  

The VitalPAC^(TM) Early Warning Score(ViEWS) to predict in-hospital cardiac arrest in patients with acute coronary syndromes

作　　者：吴婷婷 刘培昌[3] 李红 穆艳[4] 陈媛[5] 肖丽萍 Wu Tingting;Liu Peichang;Li Hong;Mu Yan;Chen Yuan;Xiao Liping(Nursing Faculty,Fujian Health College,Fuzhou 350101,China)

机构地区：[1]福建卫生职业技术学院护理系,福建福州350101 [2]福建医科大学护理学院 [3]福建医科大学协和医学院麻醉科 [4]福建省立医院护理部 [5]厦门大学附属心血管病医院护理部 [6]龙岩市第一医院护理部

出　　处：《护理学杂志》2018年第19期38-41,共4页Journal of Nursing Science

摘　　要：目的探讨重要性早期预警评分(ViEWS)对急性冠脉综合征(ACS)患者发生心脏骤停的预测效能。方法选取发生心脏骤停的164例ACS患者为病例组,未发生心脏骤停的521例ACS患者为对照组。统计心脏骤停发生前24h各时间点ViEWS得分,比较其差异及变化趋势。结果病例组心脏骤停发生前24h、16h、8h、1h及30min ViEWS得分呈持续上升趋势,显著高于对照组(均P<0.01);病例组ViEWS危险分层越接近心脏骤停的发生,高危组所占比重越大(从9.8%增加至41.2%),对照组近70%患者一直处于低危组,两组比较,差异有统计学意义(均P<0.01)。结论 ViEWS评分可预测ACS患者心脏骤停的发生,对高危和低危患者的鉴别力较好。Objective To determine the predictive efficacy of the VitalPACTM Early Warning Score（ViEWS）for in-hospital cardiac arrest（IHCA）in patients with acute coronary syndromes（ACS）.Methods We conducted a retrospective case control study including 164 cases who had experienced IHCA and 521 controls.The ViEWS scores were calculated within 24 hprior to cardiac arrest.Results The ViEWS scores of the cases increased at 24 h,16 h,8 h,1 hand 30 min before cardiac arrest,being significantly higher than those of the controls（P〈0.01 for all）.The proportion of high-risk ViEWS increased along with the evolution of cardiac arrest,from 9.8% to 41.2%,whereas nearly 70% of the controls were at low-risk,showing significant difference between them（P〈0.01 for all）.Conclusion The ViEWS can predict cardiac arrest in patients with ACS for its better discrimination of high-risk and low-risk patients.

关 键 词：急性冠脉综合征 院内心脏骤停 重要性早期预警评分 工具效能评价 

分 类 号：R473.5[医药卫生—护理学]