临床研究一种新的改性早期预警评分系统,用于快速评估成年人的冲击
Rohith N1, Srikanth Narayanaswamy1, Swati Hegde1
1Internal Medicine, MS Ramaiah Medical College, Bengaluru, IND.
Cureus
|June 1, 2023
概括
一个新的改性早期预警系统 (MEWS) 评分有效预测休克患者的死亡率. 这种简单,快速的临床工具有助于早期识别和风险分层,以获得更好的患者结果.
科学领域:
- 临界护理医学 临界护理医学
- 紧急医疗 紧急医疗
- 临床评分系统 临床评分系统
背景情况:
- 冲击是一种常见的,严重的疾病,需要立即紧急治疗.
- 根据现有的临床指南,早期的冲击识别至关重要.
- 目前的评分系统如APACHE II和SOFA缺乏快速评估能力,需要更简单的工具.
研究的目的:
- 评估一种新的改性早期预警系统 (MEWS) 评分,用于早期冲击患者的识别.
- 评估新的MEWS评分在预测休克患者死亡风险方面的有效性.
主要方法:
- 研究了一组170名在2019年11月至2021年8月期间入院ICU的休克患者.
- 收集和比较了基线数据,实验室结果,APACHE II,SOFA,MEWS和新的MEWS得分.
- 患者的结局被跟踪到死亡或ICU出院.
主要成果:
- 败血性休克是占主导地位的类型 (69.4%),其次是心脏性和低血压性休克.
- 无otropic 支持和机械通风与更高的死亡率有关.
- 新的MEWS得分显示,与传统的MEWS得分 (0.655) 相比,用于死亡率预测的接收器操作特征曲线 (AUROC) 下的区域较大 (0.684).
结论:
- 新的MEWS得分在预测死亡率方面优于传统的MEWS得分.
- 这种新的评分系统是简单的,临床的,经济的,快速的管理.
- 新的MEWS评分有助于快速识别高风险休克患者,并作为优越的死亡率预测指标.
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