Can physiological variables and early warning scoring systems allow early recognition of the deteriorating surgical patient?
Can physiological variables and early warning scoring systems allow early recognition of the deteriorating surgical patient?
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DOI：
10.1097/01.ccm.0000254826.10520.87
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发表时间：
2007-02-01
影响因子：
8.8
通讯作者：
Prescott, Gordon
中科院分区：
文献类型：
--
作者：
Cuthbertson, Brian H.;Boroujerdi, Massoud;Prescott, Gordon
目的：早期预警评分系统在临床实践中被广泛使用，以便及早识别病情恶化的患者，但缺乏有效性。我们的目标是测试生理变量，无论是单独的还是在现有的早期评分系统中，预测患者病情严重恶化的能力，并试图以更高的准确性得出功能。设计：一项比较队列研究。地点：苏格兰的一家教学医院。普通外科高度依赖患者的两个队列。队列是一组不需要重症监护入院的外科高度依赖护理患者和另一组确实需要入院的患者。不。测量和主要结果。收集连续外科高依赖病房患者的预期生理数据，并将其与来自相同外科高依赖病房的重症监护病房患者的生理数据进行比较。对数据进行质量检验和汇总，并使用判别分析和受试者操作曲线来区分组间。在心率方面，两组之间存在显著的生理差异(p
Objective: Early warning scoring systems are widely used in clinical practice to allow early recognition of the deteriorating patient, but they lack validation. We aimed to test the ability of physiologic variables, either alone or in existing early scoring systems, to predict major deterioration in a patient's condition and attempt to derive functions with superior accuracy.Design: A comparative cohort study.Setting: A teaching hospital in Scotland.Patients. Two cohorts of general surgical high-dependency patients. The cohorts are a group of surgical high-dependency care patients who did not require intensive care admission and another group of patients who did require admission.Interventions. None.Measurements and Main Results., Prospective physiologic data on consecutive surgical high-dependency unit patients were collected and compared with physiologic data on patients admitted to the intensive care unit from the same surgical high-dependency units. Data were quality checked and summarized, and discriminant analysis and receiver operator curves were used to discriminate between the groups. There were significant physiologic differences between groups with regard to heart rate (p