改良早期预警评分对急诊抢救室患者合理分流的应用价值

目的 探讨应用改良早期预警评分（MEWS）合理分流急诊抢救室患者的临床意义.方法 对2011年8月至2013年3月1 069例急诊抢救室的患者进行MEWS,比较入住重症病房、普通专科病房及急诊转留观患者MEWS评分的差异.结果 急诊抢救室患者MEWS分值不同.将入住重症病房和死亡患者合并为入住重症病房患者,MEWS≥7分患者入住重症病房比例37.8 （14/38）]高于MEWS 3～6分和0～2分患者2.1％ （6/289）和0.1％（1/742）],差异有统计学意义（x2=27.000,54.000,P＜ 0.01）.结论 MEWS为合理分流急诊抢救室患者提供了客观依据.

The application value of modified early warning score on reasonable divergence in emergency department patients

Objective To investigate the clinical allocation significance of modified early warning score （MEWS） for emergency department patients.Methods MEWS of 1 069 patients in medical emergency department from August 2011 to March 2013 were recorded and analyzed.The admitted differences of MEWS among in intensive care unit（ICU）,general wards and emergency transfer observing patients were compared.Results The MEWS of emergency department patients were different.The deaths and ICU patients together as ICU patients,MEWS ≥ 7 scores the proportion of patients admitted to ICU were significantly higher than those of MEWS 3-6 scores and 0-2 scores 37.8%（14/38） vs.2.1% （6/289） and 0.1%（1/742）]（P〈0.01）.Conclusion MEWS provides an objective allocation basis for emergency department patients.