修正后的Mews评分在心血管医学中的应用效果分析

Juxian Wu, Lin Li, Tong Zhong, Lingyi Liu, Xu-feng Yang, Xiaotong Wei
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引用次数: 0

摘要

目的:比较修正后MEWS评分在心血管医学中的应用效果。方法:回顾性收集2018年6月至2019年6月在我院心血管科住院的322例符合纳入和排除标准的患者作为对照组;选取2019年7月至2020年7月在我院心血管内科住院的符合纳入和排除标准的患者347例作为实验组。实验组采用调整后的修订MEWS评分,对照组采用修订后的MEWS评分。比较两组患者的临床预后及预测准确率。结果:两组患者临床疗效比较,差异无统计学意义(P>0.05)。两组不同临床结局的组成不同,同一等级两组的组成比例也不同。实验组的预测准确率显著高于对照组(P<0.05)。以死亡和入院为事件终点,两组患者事件发生与MEWS评分及ROC曲线下面积的相关性有统计学差异(P<0.05)。结论:修正后的修正MEWS评分在常规修正MEWS评分的基础上,进一步提高了预警的准确性。它可以用来识别潜在的危重病人。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Analysis of the Application Effect of the Modified Mews Score After Correction in Cardiovascular Medicine
Objective: Compare the application effect of the modified MEWS score before and after correction in cardiovascular medicine. Methods: A retrospective collection of 322 patients who were hospitalized in the Cardiovascular Department of our hospital from June 2018 to June 2019 and met the inclusion and exclusion criteria were used as the control group; 347 patients who were hospitalized in the Department of Cardiovascular Medicine of our hospital from July 2019 to July 2020 and met the inclusion and exclusion criteria were collected as the experimental group. The experimental group used the modified MEWS score after adjustment, and the control group used the modified MEWS score. The clinical outcome and prediction accuracy of the two groups of patients were compared. Results: There was no difference in the clinical outcome of the two groups of patients (P>0.05). The composition of different clinical outcomes of the two groups was different, and the composition ratio between the two groups of the same grade was also different. The prediction accuracy of the experimental group was significantly higher than that of the control group (P<0.05). With death and ICU admission as the event endpoints, the correlation between the occurrence of the event and the MEWS score and the area under the ROC curve was statistically different between the two groups (P<0.05). Conclusion: The corrected modified MEWS score further improves the accuracy of early warning based on the general modified MEWS score. It can be used to identify potentially critically ill patients.
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