|
|
|
| Clinical Value of Modified Early Warning Score combined with Electrocardiogram and SaO2 in Evaluating the Severity of Acute Chest Pain |
| ZENG Yu, MAI Quanyun, OUYANG Houhua, et al |
| Qinzhou Second People's Hospital, Guangxi Qinzhou 535099, China |
|
|
|
|
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.
|
|
|
|
|
|
[1] 李小宇,孟岩,魏岚,等.急诊胸痛患者就诊流程的分析[J].中国病案,2017,18(12):25~27.
[2] 李莉,武巧月,赵立安.胸痛临床评估与诊断流程在急诊科急性胸痛患者诊断中的应用效果[J].实用心脑肺血管病杂志,2016,24(3):66~67.
[3] 戴李华,陈淼,王海嵘.胸痛临床评估与诊断流程在急诊胸痛患者临床诊断中的价值[J].广东医学,2017,38(s1):106~107.
[4] Subbe C P,Davies R G,Williams E,et al.Effect of introducing the modified early warning score on clinical outcomes,cardio-pulmonary arrests and intensive care utilisation in acute medical admissions.[J].Anaesthesia,2015,58(8):797~802.
[5] 李萍,姜萍,卫婷婷,等.改良早期预警评分评估急诊潜在危重症患者病情能力的研究[J].护理管理杂志,2015,15(1):1~2.
[6] Robson J,Ayerbe L,Mathur R,et al.Clinical value of chest pain presentation and prodromes on the assessment of cardiovascular disease:a cohort study[J].Bmj Open,2015,5(4):e007251.
[7] 杨雪峰,于海超,孟照辉,等.急诊胸痛中心的现状与未来[J].心血管病学进展,2014,35(2):190~193.
[8] 韩贤珍,林松梅,冷双芝.改良HEART与TIMI评分系统在急性胸痛患者危险度分层及预后评估中的不同价值对比[J].中国分子心脏病学杂志,2016,26(6):1892~1895.
[9] Sanchis J,Garcíablas S,Mainar L,et al.High-sensitivity versus conventional troponin for management and prognosis assessment of patients with acute chest pain[J].Heart,2014,100(20):1591~1596.
[10] 方婷婷,李萍,肖江琴,等.改良早期预警评分在急诊胸痛患者中的应用[J].实用医学杂志,2016,32(2):315~317. |
|
|
|
2019, Vol. 25 
