改良儿童早期预警评分在急诊预检分诊及病情分级中的应用

王艳; 李秀芳; 何利平; 代大春; 杨桂云; 唐铭

改良儿童早期预警评分在急诊预检分诊及病情分级中的应用

1. 昆明市妇幼保健院急诊科
2. 昆明医科大学公共卫生学院流行病与卫生统计学系

基金项目:

基金：昆明市妇幼保健院院级科研基金资助项目 (2017-06);

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出版历程
- 收稿日期: 2018-03-17

The Application of Modified Pediatric Early Warning Score in Emergency Medical Treatment and Classification

Funds:

基金：昆明市妇幼保健院院级科研基金资助项目 (2017-06);

摘要

摘要: 目的探讨改良儿童早期预警评分 (modified pediatric early warning score, MPEWS) 在急诊预检分诊及病情分级中的意义.方法选取2017年2月至2018年1月来昆明市妇幼保健院急诊室就诊患儿作为研究对象, 按照要求现场采集相关数据, 急诊分诊护士对就诊患儿进行MPEWS评分, 医师就诊按5级病情分级法对患儿进行病情评估和分级, 寻求MPEWS评分值与病情危重程度的关联度.结果 MPEWS评分与病情分级之间存在相关性 (rs=-0.630, P<0.001) , MPEWS评分越高, 病情分级等级越低, 病情严重程度更高.受试者工作特征 (ROC) 曲线下面积0.996, 90%可信区间为0.9930.999 (P<0.05) , 说明MPEWS评分对重症患儿的判断有统计学意义.最佳临界值为4.5分, 此时敏感度为96.0%, 特异度为99.9%.结论 MPEWS评分对急诊预检分诊及评估儿科急诊患者病情、及时识别危重患儿有一定价值.
- 改良儿童早期预警评分 /
- 急诊 /
- 病情分级 /
- 病情评估
Abstract: Objective To explore the significance of modified pediatric early warning score (MPEWS) in emergency early warning triage and classification. Method Selecting ill children who came to emergency department from February of 2017 to January of 2018 as objects of study, and triage nurses of emergency department gave MPEWS to the sick children under the demand of the filed data collection. Furthermore, according to the five levels of disease severity classification, doctors gave the disease assessment and classification to the sick children, finding the relevance between the MPEWS and the severity of the disease.Result Consequently, there is a relevance between the MPEWS scores and the severity of the disease indeed (rs=-0.630, P < 0.001) . The data show that the higher of the scores, the lower disease level, and the higher severity of the disease. ROC areas under the curve of the subjects is 0.996, and the confidence interval is 0.993-0.999 (P <0.05) . That indicates that MPEWS exists statistical significance of emergency children judgement. The optimal number is 4.5, the sensitivity is 96%, and the specificity is 99.9%.Conclusions MPEWS is valuable in emergency early warning triage, children emergency severity assessment and identifying critical ill children in time.
- Modified pediatric early warning score /
- Emergency /
- Classification /
- Assessment

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参考文献(21)

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