{"title":"修正后的Mews评分在心血管医学中的应用效果分析","authors":"Juxian Wu, Lin Li, Tong Zhong, Lingyi Liu, Xu-feng Yang, Xiaotong Wei","doi":"10.11648/J.EJPM.20210903.12","DOIUrl":null,"url":null,"abstract":"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.","PeriodicalId":342483,"journal":{"name":"European Journal of Preventive Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2021-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Analysis of the Application Effect of the Modified Mews Score After Correction in Cardiovascular Medicine\",\"authors\":\"Juxian Wu, Lin Li, Tong Zhong, Lingyi Liu, Xu-feng Yang, Xiaotong Wei\",\"doi\":\"10.11648/J.EJPM.20210903.12\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"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.\",\"PeriodicalId\":342483,\"journal\":{\"name\":\"European Journal of Preventive Medicine\",\"volume\":\"1 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-05-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European Journal of Preventive Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.11648/J.EJPM.20210903.12\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Preventive Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.11648/J.EJPM.20210903.12","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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.