摘要
目的:探究改良早期预警评分(MEWS)联合疼痛数字评价量表(NRS)评分在急诊分级分诊中的应用价值。方法:回顾我院2015年3月~2018年3月收治的500例急诊患者校正分诊结果,采用Spearman等级相关分析MEWS和NRS评分与校正分级的相关性,采用受试者工作特征曲线(ROC)分析其在分诊中的应用价值。结果:500例患者中校正分级Ⅰ级0例(0.00%)、Ⅱ级24例(4.80%)、Ⅲ级180例(36.00%)、Ⅳ级296例(59.20%);MEWS评分分段>9分0例(0.00%)、5~9分13例(2.30%)、<5分487例(97.40%);NRS评分分段7~10分54例(10.80%)、4~6分128例(25.60%)、1~3分161例(32.20%)、0~1分157例(31.40%)。对不同校正分级患者的MEWS评分、NRS评分进行Spearman等级相关分析提示,MEWS评分与校正分级呈负相关,且相关性较强(r=-0.875,P=0.000);NRS评分与校正分级呈负相关,且相关性较强(r=-0.722,P=0.000),两种评分均有临床诊断价值(AUC>0.05,P <0.05)。MEWS及NRS联合评分在急诊分诊中的诊断平均准确率为87.80%。结论:MEWS及NRS联合评分在急诊分级分诊中的准确率较高,能有效提高分诊分级效率,值得在临床推广应用。
Objective:To assess the value of modified early warning score(MEWS) combined with numerical rating scale(NRS) in emergency triage.Methods:Corrected triage findings were retrospectively analyzed in 500 cases admitted to our emergency room between March of 2015 and 2018.Spearman′s rank correlation coefficient was used to analyze the correlation of modified MEWS and NRS scores with corrected triage for which the value as assessed using receiver operating characteristic(ROC) curve.Results:Of the 500 cases,corrected triage I was 0(0.00%);II,24(4.80%);III,180(36.00%)and IV,296(59.20%).By MEWS,scoring >9 points was seen in 0(0.00%),5~9 points in 13(2.30%) and <5 points in 487(97.40%).Fifty-four cases(10.80%)were in 7~10 points,128(25.60%) in 4~6 points,161(32.20%) in 1~3 points and 157(31.40%) in 0~1 points by NRS score.Spearman rank correlation analysis of MEWS scores and NRS segment scores for patients with different adjusted triage indicated that both MEWS scoring and NRS scoring were negatively and strongly correlated with the corrected rank(r=-0.875,P = 0.000;r=-0.722,P=0.000,respectively),suggesting that both scores were diagnostic value in clinic(AUC>0.05,P <0.05).The average accuracy of MEWS plus NRS scores was 87.80% in emergency triage.Conclusion:Combined scoring of MEWS with NRS is worthy of clinical recommendation because this system may lead to higher accuracy and efficiency in the emergency triage.
作者
范婷婷
张先翠
姜翠凤
FAN Tingting;ZHANG Xiancui;JIANG Cuiifeng(Emergency Room,The First Affiliated Hospital of Wannan Medical College,Wuhu 241001,China)
出处
《皖南医学院学报》
CAS
2019年第4期399-402,共4页
Journal of Wannan Medical College
基金
芜湖市创新环境软科学基金项目(2018RKX4-2)
