[1]文申英,程 辉△.急诊危重度指数联合早期预警评分系统在急诊患者分层及预后评价中的作用*[J].陕西医学杂志,2020,49(4):424-426.
　WEN Shenying,CHENG Hui..Role of emergency severity index combined with early warning scoring system in emergency patient stratification and prognosis evaluation[J].,2020,49(4):424-426.
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急诊危重度指数联合早期预警评分系统在急诊患者分层及预后评价中的作用*
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
49
期数:
2020年4期
页码:
424-426
栏目:
临床研究
出版日期:
2020-04-05

文章信息/Info

Title:
Role of emergency severity index combined with early warning scoring system in emergency patient stratification and prognosis evaluation
文章编号:
DOI:10.3969/j.issn.10007377.2020.04.009
作者:
文申英; 程 辉△
陕西省商洛市中心医院急诊医学科(商洛 726000)
Author(s):
WEN Shenying; CHENG Hui.
Departmentof Emergency Medicine,Shangluo Central Hospital,Shaanxi Province(Shangluo 726000)
关键词:
急诊危重度指数;  早期预警评分系统;  分层;  预后;  对比研究
Keywords:
Emergency severity index;  Early warning score;  Stratification;  Prognosis;  Comparative study
分类号:
R459.7
文献标志码:
A
摘要:
目的:探究急诊危重度指数(ESI)联合早期预警评分系统(EWS)在急诊患者分层及预后评价中的作用。方法:选择急诊科进行救治的149例患者为研究对象,根据其28 d预后将其分为存活组(92例)与死亡组(57例),在两组患者入院之初即对其进行ESI及EWS评分,对两组患者ESI及EWS评分进行对比分析,就ESI及EWS评分与患者病情相关性进行分析,最后将死亡设置为预测指标,就ESI、EWS与ESI联合EWS三种方式对患者预后评估的灵敏度、特异性进行分析。结果:①经对比分析,存活组患者EWS评分均显著低于死亡组患者,ESI评分明显高于死亡组,对比差异具有统计学意义(P<0.05); ②经相关性分析,ESI及EWS评分与患者病情存在相关性,评分越高,患者预后越差; ③经对比分析,单独ESI评分及单独MEWS评分的灵敏度及特异性均低于ESI联合EWS评估,对比差异具有统计学意义(P<0.05)。结论:ESI及EWS评分与急诊患者病情存在相关性,通过评估能够有效对急诊患者进行分层,且能够评估患者预后,具有较为现实的意义。
Abstract:
Objective:To explore the evaluation of emergency severity index(ESI)and early warning scoring system(EWS)in stratification and prognosis of emergency patients. Methods:A total of 149 patients treated in the emergency department were selected and divided into survival group(92 cases)and death group(57 cases)according to their 28-day prognosis. Two groups of patients were evaluated by ESI and EWS at the beginning of admission. The ESI and MEWS scores of the two groups were compared and analyzed. The correlation between ESI and EWS scores and the patient's condition was analyzed. Finally,death was set as a predictive index,and the sensitivity and specificity of ESI,EWS and ESI combined with MEWS in prognosis evaluation of emergency patients were analyzed. Results:The EWS scores of the survival group were significantly lower than those of the death group,and the ESI scores were significantly higher than those of the control group(P<0.05). There was a correlation between ESI and EWS scores and the patient's condition,and the higher the score,the worse the patient's prognosis. The sensitivity and specificity of ESI alone and MEWS alone were lower than those of ESI combined EWS(P<0.05). Conclusion:There is a correlation between ESI and EWS scores and the condition of emergency patients. Through evaluation,emergency patients can be effectively stratified,and the prognosis of patients can be evaluated.

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备注/Memo

备注/Memo:
*陕西省科技攻关项目(2014K11-03-02-06)
更新日期/Last Update: 2020-04-13