Application of Modified Early Warning Score System in Predicting the Severity of Patients’ Illness in Rescue Room of the Emergency Department_West China Medical Journal

Authors：

REN Hongfei ^1,2 , LIU Changqing ^1,2 ,  LI Jiping. ¹

1. Nursing Department, West China Hospital; 2. Department of Nursing, West China Medical School; Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

LI Jiping., Email: renhongfei1988@126.com

Keywords：

改良早期预警评分; 急诊; 应用分析

DOI：

10.7507/1002-0179.20130506

Video：

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目的　探讨改良早期预警评分系统（MEWS）在急诊抢救室的应用价值。方法　对2012年4月－5月在急诊抢救室就诊的213例患者进行MEWS评分，分析不同分数段患者的分布特点，追踪患者入院后的去向、病情转归及收住专科病房和重症医学科（ICU/CCU）的时间。结果　与MEWS得分≥5分的患者相比，MEWS得分＜5分者好转出院、转入专科病房的比例较高，转入ICU/CCU比例低，差异有统计学意义（P＜0.05）；不同MEWS评分段患者转入ICU/CCU的时间最短，其次是出院回家，转入专科病房的时间最长，但MEWS得分＜5分者与≥5分者出院、转入专科病房和ICU/CCU时间之间的差异无统计学意义（P＞0.05）。结论　MEWS可以预测患者病情变化及严重程度，对医护人员及时采取救护措施、合理安排住院有一定的指导作用，值得推广应用。

Citation： REN Hongfei,LIU Changqing,LI Jiping.. Application of Modified Early Warning Score System in Predicting the Severity of Patients’ Illness in Rescue Room of the Emergency Department. West China Medical Journal, 2013, 28(10): 1601-1604. doi: 10.7507/1002-0179.20130506 Copy

1.	Armagan E, Yilmaz Y, Olmez OF, et al. Predictive value of the modified Early Warning Score in a Turkish emergency department[J]. Euro J Emerg Med, 2008, 15(6): 338-340.
2.	Subbe CP, Slater A, Menon D, et al. Validation of physiological scoring systems in the accident and emergency department[J]. Emerg Med J, 2006, 23(11): 841-845.
3.	McBride J, Knight D, Piper J, et al. Long-term effect of introducing an early warning score on respiratory rate charting on general wards[J]. Resuscitation, 2005, 65(1): 41-44.
4.	黄文祺, 何庆. 比较早期预警评分和改良早期预警评分在急诊的应用价值[J]. 华西医学, 2009, 24(8): 2044-2046.
5.	谢晓梅, 孔悦, 杨大金. 改良早期预警评分在急危重症患者抢救中的应用[J]. 护理管理杂志, 2010, 10(5): 363-364.
6.	任宏飞,刘常清，李继平. 改良早期预警评分系统及其在急诊科的应用研究进展[J]. 护理学报, 2013, 20(2B): 23-26.
7.	Burch VC, Tarr G, Morroni C. Modified early warning score predicts the need for hospital admission and inhospital mortality[J]. Emerg Med J, 2008, 25(10): 674-678.
8.	Prytherch DR, Smith GB, Schmidt PE, et al. ViEWS-towards a national early warning score for detecting adult inpatient deterioration[J]. Resuscitation, 2010, 81(8): 932-937.
9.	Jo S, Lee JB, Jin YH, et al. Modified early warning score with rapid lactate level in critically ill medical patients: the ViEWS-L score[J]. Emerg Med J, 2012, 30(2): 1-7.
10.	唐维骏，张绍权，黄世梧，等. 改良早期预警评分系统与校正改良早期预警评分系统在院前急救的应用对比研究[J]. 中国全科医学, 2011, 14(2B): 526-529.
11.	Kellett J, Deane B. The Simple Clinical Score predicts mortality for 30 days after admission to an acute medical unit[J]. Q J Med, 2006, 99(11): 771-781.
12.	Markakis C, Dalezios M, Chatzicostas C, et al. Evaluation of a risk score for interhospital transport of critically ill patients[J]. Emerg Med J, 2006, 23(4): 313-317.
13.	Rees JE, Mann C. Use of the patient at risk scores in the emergency department: a preliminary study[J]. Emerg Med J, 2004, 21(6): 698-699.

1. 　Armagan E, Yilmaz Y, Olmez OF, et al. Predictive value of the modified Early Warning Score in a Turkish emergency department[J]. Euro J Emerg Med, 2008, 15(6): 338-340.
2. 　Subbe CP, Slater A, Menon D, et al. Validation of physiological scoring systems in the accident and emergency department[J]. Emerg Med J, 2006, 23(11): 841-845.
3. 　McBride J, Knight D, Piper J, et al. Long-term effect of introducing an early warning score on respiratory rate charting on general wards[J]. Resuscitation, 2005, 65(1): 41-44.
4. 　黄文祺, 何庆. 比较早期预警评分和改良早期预警评分在急诊的应用价值[J]. 华西医学, 2009, 24(8): 2044-2046.
5. 　谢晓梅, 孔悦, 杨大金. 改良早期预警评分在急危重症患者抢救中的应用[J]. 护理管理杂志, 2010, 10(5): 363-364.
6. 　任宏飞,刘常清，李继平. 改良早期预警评分系统及其在急诊科的应用研究进展[J]. 护理学报, 2013, 20(2B): 23-26.
7. 　Burch VC, Tarr G, Morroni C. Modified early warning score predicts the need for hospital admission and inhospital mortality[J]. Emerg Med J, 2008, 25(10): 674-678.
8. 　Prytherch DR, Smith GB, Schmidt PE, et al. ViEWS-towards a national early warning score for detecting adult inpatient deterioration[J]. Resuscitation, 2010, 81(8): 932-937.
9. 　Jo S, Lee JB, Jin YH, et al. Modified early warning score with rapid lactate level in critically ill medical patients: the ViEWS-L score[J]. Emerg Med J, 2012, 30(2): 1-7.
10. 　唐维骏，张绍权，黄世梧，等. 改良早期预警评分系统与校正改良早期预警评分系统在院前急救的应用对比研究[J]. 中国全科医学, 2011, 14(2B): 526-529.
11. 　Kellett J, Deane B. The Simple Clinical Score predicts mortality for 30 days after admission to an acute medical unit[J]. Q J Med, 2006, 99(11): 771-781.
12. 　Markakis C, Dalezios M, Chatzicostas C, et al. Evaluation of a risk score for interhospital transport of critically ill patients[J]. Emerg Med J, 2006, 23(4): 313-317.
13. 　Rees JE, Mann C. Use of the patient at risk scores in the emergency department: a preliminary study[J]. Emerg Med J, 2004, 21(6): 698-699.

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Application of Modified Early Warning Score System in Predicting the Severity of Patients’ Illness in Rescue Room of the Emergency Department

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