中国全科医学Issue(14)：1680-1683,4.DOI:10.3969/j.iKn.1007-9572.2015.14.019
改良早期预警评分与国家早期预警评分对老年急诊患者病情评估的比较
Comparison of the Modified Early Warning Score and the National Early Warning Score in the Assessment of Medical Emergency in Elderly Patients
摘要
Abstract
Objective To assess medical emergency in elderly patients by using the modified early warning score (MEWS)and the national early warning score(NEWS)and compare their application values in order to find out which scoring method is more suitable for elderly patients. Methods We enrolled 361 elderly patients(≥60 years old)who were admitted by the Department of Emergency,Chinese PLA General Hospital from October 2013 to March 2014. According to the emergency outcomes,the subjects were divided into general ward group and intensive care unit group;according to the conditions on day 30,the subjects were also divided into death group and survival group. NEWS and MEWS assessments were employed on the subjects. ROC curves were also used to compare the two scoring methods in predicting emergency outcomes and prognosis. Results The general ward group consisted of 239 patients and the intensive care unit group consisted of 122 patients. The intensive care unit group was higher(P < 0. 01)than the general ward group in NEWS,MEWS,respiratory rate and heart rate and was lower( P < 0. 01) in oxyhemoglobin saturation. The areas under ROC curves of NEWS and MEWS that predicted emergency outcomes were(0. 970 ± 0. 011)and(0. 831 ± 0. 025)respectively,with significant difference(Z = 6. 950,P <0. 010)between them. 30 days later,323 subjects who survived were assigned into the survival group and 38 subjects who died were assigned into the death group. The death group was higher( P < 0. 05) than the survival group in NEWS,MEWS, respiratory rate and heart rate and was lower(P < 0. 05) in oxyhemoglobin saturation. ROC curves of NEWS and MEWS that predicted the 30 d prognosis were(0. 861 ± 0. 039) and(0. 789 ± 0. 045) respectively,with significant difference( Z =2. 250,P = 0. 023) between them. Conclusion The NEWS is more accurate and effective in assessing the respiratory and heart rate conditions in elderly patients and is more suitable for the condition assessment of elderly patients with emergent and critical illness.关键词
国家早期预警评分/改良早期预警评分/病情评估/老年患者Key words
National early warning score/Modified early warning score/Condition assessment/Elderly patients分类
医药卫生引用本文复制引用
王莉荔,杜捷夫,陈威,贾立静,朱海燕,王坚,沈洪..改良早期预警评分与国家早期预警评分对老年急诊患者病情评估的比较[J].中国全科医学,2015,(14):1680-1683,4.基金项目
北京市卫生行业基金课题 （）
