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：

改良早期預警評分; 急診; 應用分析

DOI：

10.7507/1002-0179.20130506

Video：

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目的　探討改良早期預警評分系統（MEWS）在急診搶救室的應用價值。方法　對2012年4月－5月在急診搶救室就診的213例患者進行MEWS評分，分析不同分數段患者的分布特點，追蹤患者入院后的去向、病情轉歸及收住專科病房和重癥醫學科（ICU/CCU）的時間。結果　與MEWS得分≥5分的患者相比，MEWS得分＜5分者好轉出院、轉入專科病房的比例較高，轉入ICU/CCU比例低，差異有統計學意義（P＜0.05）；不同MEWS評分段患者轉入ICU/CCU的時間最短，其次是出院回家，轉入專科病房的時間最長，但MEWS得分＜5分者與≥5分者出院、轉入專科病房和ICU/CCU時間之間的差異無統計學意義（P＞0.05）。結論　MEWS可以預測患者病情變化及嚴重程度，對醫護人員及時采取救護措施、合理安排住院有一定的指導作用，值得推廣應用。

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.	黃文祺, 何慶. 比較早期預警評分和改良早期預警評分在急診的應用價值[J]. 華西醫學, 2009, 24(8): 2044-2046.
5.	謝曉梅, 孔悅, 楊大金. 改良早期預警評分在急危重癥患者搶救中的應用[J]. 護理管理雜志, 2010, 10(5): 363-364.
6.	任宏飛,劉常清，李繼平. 改良早期預警評分系統及其在急診科的應用研究進展[J]. 護理學報, 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.	唐維駿，張紹權，黃世梧，等. 改良早期預警評分系統與校正改良早期預警評分系統在院前急救的應用對比研究[J]. 中國全科醫學, 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. 　黃文祺, 何慶. 比較早期預警評分和改良早期預警評分在急診的應用價值[J]. 華西醫學, 2009, 24(8): 2044-2046.
5. 　謝曉梅, 孔悅, 楊大金. 改良早期預警評分在急危重癥患者搶救中的應用[J]. 護理管理雜志, 2010, 10(5): 363-364.
6. 　任宏飛,劉常清，李繼平. 改良早期預警評分系統及其在急診科的應用研究進展[J]. 護理學報, 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. 　唐維駿，張紹權，黃世梧，等. 改良早期預警評分系統與校正改良早期預警評分系統在院前急救的應用對比研究[J]. 中國全科醫學, 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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