Modified Early Warning Score and VitalPac Early Warning Score in geriatric patients admitted to emergency department
Modified Early Warning Score and VitalPac Early Warning Score in geriatric patients admitted to emergency department
复制标题
DOI：
10.1097/mej.0000000000000274
复制
发表时间：
2016-12-01
影响因子：
4.4
通讯作者：
Gul, Mehmet
中科院分区：
文献类型：
--
作者：
Dundar, Zerrin Defne;Ergin, Mehmet;Gul, Mehmet
目的本研究的目的是评估改良早期预警评分 (MEWS) 和 VitalPac 早期预警评分 (VIEWS) 在预测老年急诊科 (ED) 患者住院和院内死亡率方面的价值。 患者和方法 这项前瞻性、单中心观察性研究在一所大学医院的 ED 中针对 65 岁及以上就诊的患者进行了为期 1 个月的前瞻性、单中心观察性研究。记录患者入院时测量的生命参数。 MEWS 和 VIEWS 是使用记录的患者生理参数计算的。住院治疗和院内死亡率作为主要结局。结果共有 671 名患者纳入研究。患者的中位年龄为 75 (11) 岁，其中 375 名 (55.9%) 为男性。 MEWS 可有效区分已从 ED 出院、入住病房和入住 ICU 的患者群体 [分别为 1 (2) vs. 1 (1) vs. 3 (3)，P
ObjectiveThe aim of this study was to evaluate the value of the Modified Early Warning Score (MEWS) and the VitalPac Early Warning Score (VIEWS) in predicting hospitalization and in-hospital mortality in geriatric emergency department (ED) patients.Patients and methodsThis prospective, single-centered observational study was carried out over 1 month at the ED of a university hospital in patients 65 years of age and older presenting to the ED. The vital parameters of the patients measured on admission to ED were recorded. The MEWS and VIEWS were calculated using the recorded physiological parameters of the patients. Hospitalization and in-hospital mortality were used as the primary outcomes.ResultsA total of 671 patients included in the study. The median age of the patients was 75 (11) years, and 375 (55.9%) were men. The MEWS is effective for discriminating patient groups that have been discharged from ED, admitted to a ward and admitted to ICU [1 (2) vs. 1 (1) vs. 3 (3), respectively, P