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改良早期预警评分预测ICU创伤患者病情和预后的研究
The study of Modified early warning score on ICU trauma patients condition and prognosis prediction

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DOI:
作者:
刘新平 谢虹
LIU Xin-ping, XIE Hong.
作者单位:
山东省滨州市人民医院
Binzhou People’s Hospital
关键词:
改良早期预警评分；重症监护病房；创伤；评分
MEWS; intensive care unite; trauma; scoring
摘要:
[摘要]: 目的 评价MEWS评分预测ICU创伤患者病情和预后的适用性和可行性。方法 回顾性调查190例ICU创伤患者，入ICU时即刻作为观察起点，通过查阅病例记录对每位患者进行MEWS评分，以治疗后转出ICU为观察终点。分析MEWS与患者伤情和预后的相关性及临床价值。结果 MEWS评分与ICU创伤患者伤情和预后呈正相关，相关系数r分别为0.659和0.441。MEWS评分有中等预测ICU创伤患者预后的能力，AUROCC为0.764，最佳截断分值为5分，敏感度是88.10%，特异度是51.20%；APACHEⅡ评分AUROCC为0.810，最佳截断分值是21分，敏感度是86.60%，特异度是54.50%。结论 MEWS评分能够快速预测ICU创伤患者病情和预后，并可实现对患者病情的动态观察。
[Abstract]: Objective To access the possibility and practicability of MEWS on trauma patients in intensive care unite. Methods Retrospective investigation of 190 cases ICU trauma patients into the ICU was available to observe the starting point, through access to medical records on each patient were MEWS score, in order to transfer out of ICU after treatment for the primary endpoint. Correlation with MEWS were statistical analyzed after dividing. Results MEWS had positive correlation with the severity of trauma and mortality，r 0.659 and 0.441.The MEWS with AUROCC 0.764 and the best cutoff score 5,the sensitivity was 88.10% and specificity was 51.20%,It had moderate discrimination on mortality. The APACHEⅡ with AUROCC 0.810 and the best cutoff score 21,the sensitivity was 86.60% and specificity was 54.50%. Conclusion MEWS can be applied to predict quickly the severity and prognosis of trauma patients in ICU, and enables dynamic observation of the patient condition. [Key words]: MEWS; intensive care unite; trauma; scoring

 

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