NEWS评分在急诊抢救室病人分流及结局预测中的临床应用价值

    Clinical value of NEWS in the shunting and predictinng outcome of emergency patients

    • 摘要: 目的:探讨国家早期预警评分(national early warning score,NEWS)对急诊抢救室危重病人分流及该次入院期间短期预后预测的临床应用价值。方法:选取急诊抢救室收治病人803例作为研究对象,按照入抢救室第一次采集的生命体征进行NEWS评分。根据病人去向分为门诊留观组、普通病房组和重症病房组;其中入院病人根据该次入院治疗的转归情况分为好转组和死亡组。比较各组病人NEWS评分,并分析年龄、NEWS评分与病人死亡率的相关性。结果:803例病人中,门诊留观组145例、普通病房组481例、重症病房组177例,其中普通病房组、重症病房组病人的NEWS评分均明显高于门诊留观组(P<0.01),重症病房组亦高于普通病房组(P<0.01)。803例病人中658例入院进一步治疗,以病人此次入院后出院转归为观察终点,658例中好转组585例,死亡组73例,2组病人年龄差异无统计学意义(P>0.05),好转组病人的NEWS评分明显低于死亡组(P<0.01)。logistic回归分析显示,NEWS评分与病人死亡率呈正相关关系(P<0.05),而年龄与病人死亡率无明显相关关系(P>0.05)。结论:NEWS评分在急诊抢救室病人分流及结局预测中具有重要指导价值。

       

      Abstract: Objective:To investigate the clinical value of national early warning score(NEWS) in the shunting and predicting short-term outcome of emergency patients.Methods:The NEWS in 803 patients in emergency resuscitation room were investigated according to the initial vital signs.The patients were divided into the outpatient group,general ward group and intensive care unit group according to the emergency shutting.The inhospital patients were divided into the survival group and death group according to the improvement.The NEWS between all groups were compared,and the correlations of age and NEWS with death rate of patients were analyzed.Results:Among 803 patients,the outpatient group in 145 cases,general ward group in 481 cases and intensive care unit group in 177 cases were identified,the NEWS in general ward group and intensive care unit group were significantly higher than that in outpatient group(P<0.01),and the NEWS in intensive care unit group was higher than that in general ward group(P<0.01).Six hundred and fifty-eight cases were further treated after inhospital,the outhospital was set as the observation end,the survival in 585 cases and death in 73 cases were found,the difference of the age between two groups was not statistical significance(P>0.05),and the NEWS in survival group was significantly lower than that in death group(P<0.01).The results of binary logistic showed that the NEWS was positive correlation with the death rate of patients,whereas the age was not correlated with the death rate of patients(P>0.05).Conclusions:The NEWS has crucial clinical value in the shunting and predicting short-term outcome of emergency patients.

       

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