改进型预警评分在普通科室的应用进展

R. Tang, Fanxin Xuan, Xiaowei Qin, Lanping Shi
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引用次数: 0

摘要

改进的早期预警评分系统可以帮助医护人员早期识别“潜在危重症”患者,有效降低死亡率。2001年,国家医疗服务体系推荐MEWS用于一般医疗评估。但一般部门对MEWS的研究较少,具体应用效果还在探索中。因此,本文总结了国内外综合部门MEWS的应用优势、应用方法和应用效果,以期为综合部门MEWS的发展提供一定的理论依据。经总结发现,虽然MEWS评价指标简单易获取,便于病情沟通,但MEWS对普通科室“潜在危重患者”的识别能力较差。对普通科患者预后的预测作用有待探讨。需要进行大量的多中心、大样本、大范围的研究,为MEWS在普通科室的应用提供依据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Application Progress of Modified Early Warning Score in General Departments
Modified Early Warning Score system can help medical staff to identify patients with “potential critical illness” at an early stage and effectively reduce the death rate. In 2001 the NHS recommended MEWS for general practice assessment. However, there are few studies on MEWS in general departments, and the specific application effect is still being explored. Therefore, this paper summarizes the application advantages, application methods and application effects of MEWS in general departments at home and abroad, so as to provide some theoretical basis for the development of MEWS in general departments. After summary, it was found that although MEWS evaluation indicators are simple and easy to obtain, and can facilitate the communication of medical conditions, MEWS has a poor ability to identify “potential critically ill patients” in general departments. The role of predicting the prognosis of patients in general departments remains to be explored. A large number of multi-center, large-sample and large-range studies are needed to provide a basis for the application of MEWS in general departments.
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