摘要
目的:探讨改良早期预警评分结合血清脂肪酶水平判断急诊患者病情危重程度的价值。方法:对2015年2月至2018年2月601例急诊患者行改良早期预警评分评估,并测定血清脂肪酶水平,追踪患者临床结局。结果:改良早期预警评分、血清脂肪酶水平随着急诊患者病情程度加重而升高(P<0.05),死亡组改良早期预警评分、血清脂肪酶水平高于存活组(P<0.05)。改良早期预警评分与血清脂肪酶呈正相关(r=0.362,P<0.05),改良早期预警评分、血清脂肪酶、联合改良早期预警评分和血清脂肪酶预测急诊患者预后的曲线下面积(AUC)分别为0.778(95%CI:0.663~0.892,P=0.027)、0.855(95%CI:0.752~0.955,P<0.001)、0.892(95%CI:0.810~0.974,P<0.001),灵敏度和特异度分别为78.13%、73.11%;87.50%、66.26%;88.25%、79.21%。结论:改良早期预警评分、血清脂肪酶水平与急诊患者病情危重程度密切相关,两者联合检测可提高预后判断的准确性。
[Objective]To explore the value of using improved early warning score combined with serum lipase index to judge the severity of critical illness in emergency patients.[Method]601 patients who were admitted to the emergency department from February 2015 to February 2018 were evaluated for improved early warning scores,serum lipase levels were measured,clinical outcomes were tracked.[Result]The improved early warning score and serum lipase level increased with the severity of the disease in the emergency department(p<0.05:.The improved early warning score and serum lipase level in the death group were higher than those in the survival group(p<0.05).The improved early warning score was positively correlated with serum lipase(r=0.362,p<0.05).The improved early warning score,serum lipase,combined improvement early warning score and serum lipase were used to predict the prognosis of emergency patients(AUC)were 0.778(95%CI:0.663-0.892,p=0.027:,0.855(95%CI:0.0.752-0.955,p<0.001:and 0.892(95%CI:0.810-0.974,p<0.001),respectively.The sensitivity and specificity was 78.13%,73.11%;87.50%,66.26%;88.25%and 79.21%,respectively.[Conclusion]The improved early warning score and serum lipase level are closely related to the severity of emergency patients. The combined detection of the two can improve the accuracy of prognosis prediction.
作者
洪璐颖
余幼芬
夏群伟
俞怡
汪君芬
HONG Luying;YU Youfen;XIA Qunwei;YU Yi;WANG Junfen(Zhoushan Maternal and Child Health Hospital,Zhejiang 316000,China)
出处
《浙江医学教育》
2019年第5期39-41,共3页
Zhejiang Medical Education
关键词
改良早期预警评分
可预见性评估
急诊
病情危重程度
improved early warning score
predictability assessment
emergency department
critical condition
