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目的:探讨临床早期预警评分与急诊患者治疗预后的关系。方法:应用我院自行开发的临床早期预警评分(CEWS)软件对我院2012年1—12月进入急诊抢救室的652例进行电脑评分,根据评分并参考其他辅助检查结果,制定诊疗方案。收集所有患者的CEWS评分,按≤2分、3~4分、5~6分、7~8分、≥9分以上设置5个分数段,将不同分数段患者的去向、预后比较分析。结果:在本组病例中,≤2分116例(17.79%),除13例直接离院外,其余在急诊留观治疗1~2天离院。3~4分212例(32.52%),2例直接离院,其余在急诊留观治疗。5~6分191例(29.29%),21例因拒绝住院而在急诊科留观及救治,19例入ICU,151例收住专科病房。7~8分87例(13.34%),5例在急诊科抢救无效死亡,52例经急诊救治后直接送入ICU(或手术室),30例收住专科病房。≥9分46例(7.06%),9例在急诊科抢救无效死亡,37例经急诊救治后直接送入ICU。结论:CEWS评分系统应用简单、信息采集方便、快捷、费用低廉,不受医院或急诊科硬件条件的限制,可操作性强,便于急诊医师快速筛检潜在危重病患者。
Objective: To investigate the relationship between the clinical early warning score and the prognosis of emergency patients. Methods: The clinical early warning score (CEWS) software developed by our hospital was used to evaluate the computer scores of 652 patients admitted to the emergency room from January to December in 2012. According to the scores and other auxiliary examinations, the treatment plan was formulated. CEWS scores of all patients were collected, and 5 scores were set according to ≤2, 3 ~ 4, 5 ~ 6, 7 ~ 8, ≥9 points, and the fate and prognosis of different patients were compared. Results: In this group of patients, ≤2 points 116 cases (17.79%), with the exception of 13 cases directly out of hospital, the remaining stay in the emergency treatment of 1 to 2 days away from the hospital. 3 to 4 points in 212 cases (32.52%), 2 cases were directly discharged from the hospital, the rest stay in the emergency treatment. 191 cases (29.29%) were in 5 to 6 points, 21 cases were seen and treated in the emergency department because of refusal to hospitalization, 19 cases were admitted to the ICU and 151 cases were admitted to specialist wards. 87 cases (13.34%) were in 7-8 points, 5 cases died in the emergency department, and 52 cases were directly sent to the ICU (or operating room) after emergency treatment and 30 cases were admitted to the specialist ward. ≥9 points and 46 cases (7.06%). Nine patients died in the emergency department and 37 cases were sent to ICU directly after emergency treatment. Conclusion: The CEWS scoring system has the advantages of simple application, convenient and fast information collection, low cost, no limitation of hospital or emergency department hardware conditions, strong maneuverability and rapid emergency screening for potential critically ill patients.