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河北医学  2022, Vol. 28 Issue (5): 809-812    DOI: 10.3969/j.issn.1006-6233.2022.05.023
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改良PEWS评分在儿科急诊患儿病情评估及预后预测的应用价值
郑欣, 林彦勋, 陈岳, 彭洁, 张景欣, 刘秀芳
广东省惠州市中心人民医院儿科, 广东 惠州 516000
Application Value of Modified PEWS Score in the Assessment and Prognosis of Children in Pediatric Emergencies
ZHENG Xin, LIN Yanxun, CHEN Yue, et al
Huizhou Central People's Hospital, Guangdong Huizhou 516000, China
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摘要 目的:探讨改良儿童早期预警评分(PEWS)在儿科急诊患儿病情评估及预后预测的应用价值。方法:选取2021年1月至2021年12月广东省惠州市中心人民医院儿科收治的126例危急重症患儿纳入观察组,另选取2020年1月至2020年12月于本院儿科收治的126例危急重症患儿纳入对照组。对照组采用PEWS评分评估患儿入院时病情,观察组采用改良PEWS评分评估患儿入院时病情,观察组患儿随访6个月,记录其生存情况。比较两组小儿急诊患儿病情评估准确性,采用Spearman秩相关性分析改良PEWS评分与病情分级相关性;比较不同改良PEWS评分儿科急诊患儿预后,ROC曲线分析改良PEWS评分系统评估病情和预后的价值。结果:观察组患儿早期病情识别率和病情观察识别率为15.07%、91.27%,高于对照组的3.17%和72.22%(P<0.05);Spearman秩相关分析,改良PEWS评分与病情分级呈负相关关系(rs=-0.642,P<0.001);ROC分析改良PEWS评分对急症患儿病情预估的AUC为0.782(P<0.05);观察组患儿随访6个月,死亡27例(21.43%),不同改良PEWS评分患儿死亡率比较,差异有统计学意义(P<0.05);ROC分析结果显示,改良PEWS评分对儿科急诊患儿预测死亡的AUC为0.775(P<0.05)。结论:改良PEWS评分在儿科急诊患儿病情评估及预后预测中具有较高的应用价值。
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关键词 改良儿童早期预警评分儿科急诊病情评估预后    
AbstractObjective: To explore the application value of modified pediatric early warning score (PEWS) in the assessment and prognosis of children in pediatric emergencies. Methods: A total of 126 critically ill children admitted to the Department of Paediatrics of Huizhou Central People's Hospital in Guangdong Province from January 2021 to December 2021 were selected to be included in the observation group, and another 126 critically ill children admitted to the Department of Paediatrics of our hospital from January 2020 to December 2020 were selected to be included in the control group. In the control group, the PEWS score was used to assess the children's condition on admission, while in the observation group, the modified PEWS score was used to assess the children's condition on admission, and the children in the observation group were followed up for 6 months to record their survival. The prognosis of children with different modified PEWS scores in paediatric emergencies was compared, and the value of the modified PEWS scoring system in assessing condition and prognosis was analysed by using Spearman's rank correlation. Results: The early disease recognition rate and disease observation recognition rate of children in the observation group were 15.07% and 91.27%, which were higher than those of the control group (3.17% and 72.22%) (P<0.05); Spearman's rank correlation analysis showed a negative correlation between the modified PEWS score and disease classification (rs=-0.642, P<0.001). The AUC of the modified PEWS score on the prognosis of children with acute disease was 0.782 (P<0.05) in the ROC analysis. The AUC for predicting the condition of children with acute illness was 0.782 (P<0.05); 27 (21.43%) of the children in the observation group died at 6 months of follow-up, and there was a statistically significant difference (P<0.05) when comparing the mortality rates of children with different modified PEWS scores; ROC analysis showed that the AUC of the modified PEWS score for predicting death in children with paediatric emergencies was 0.775 (P<0.05). Conclusion: Modified PEWS score has high value in the assessment and prognosis of children in paediatric emergencies.
Key wordsModified pediatric early warning score    Pediatric emergencies    Assessment    Prognosis
    
基金资助:2021年惠州市科技计划(医疗卫生)项目,(编号:2021WC0106331)
引用本文:   
郑欣, 林彦勋, 陈岳, 彭洁, 张景欣, 刘秀芳. 改良PEWS评分在儿科急诊患儿病情评估及预后预测的应用价值[J]. 河北医学, 2022, 28(5): 809-812.
ZHENG Xin, LIN Yanxun, CHEN Yue, et al. Application Value of Modified PEWS Score in the Assessment and Prognosis of Children in Pediatric Emergencies. HeBei Med, 2022, 28(5): 809-812.
链接本文:  
http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2022.05.023     或     http://www.hbyxzzs.cn/CN/Y2022/V28/I5/809
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