Abstract：Objective: To explore the clinical value of modified early warning score (MEWS) combined with electrocardiogram (ECG) and blood oxygen saturation (SaO2) in evaluating the severity of acute chest pain. Methods:A total of 1080 patients with acute chest pain received in the emergency department from September 2017 to September 2018 were studied. MEWS score and MEWS combined with electrocardiogram and SaO2 score were performed. A special person was assigned to follow up the prognosis of patients. Cox regression model was used for survival analysis. Results:The worse the prognosis, the higher the MEWS score and the combined score, the difference was statistically significant (P<0.05). The combined scores of ICU and emergency death patients were significantly higher than those of MEWS (t = 3.241, 4.006, P<0.05). Cox regression survival analysis showed that MEWS score (P=0.038), electrocardiogram score (P=0.022), SaO2 score (P=0.015) and combined score (P=0.014) were all independent risk factors for death of patients with acute chest pain, and the combined score (HR=3.720) had higher predictive value for prognosis death of patients. Conclusion: MEWS score combined with electrocardiogram and SaO2 monitoring can help to timely and accurately evaluate the severity of acute chest pain and predict potential risks.
曾宇, 麦泉云, 欧阳后华, 杨新疆, 罗乃琨. 改良早期预警评分结合心电图SaO2在评价 急性胸痛患者病情严重程度中的临床价值[J]. 河北医学, 2019, 25(4): 548-550.
ZENG Yu, MAI Quanyun, OUYANG Houhua, et al. Clinical Value of Modified Early Warning Score combined with Electrocardiogram and SaO2 in Evaluating the Severity of Acute Chest Pain. HeBei Med, 2019, 25(4): 548-550.
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2019, Vol. 25 
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