早期预警评分联合Braden评分对急诊老年危重症病人预后的评估效果

doi:10.3969/j.issn.1003-9198.2022.05.012

Abstract

Abstract: Objective To explore the predictive value of modified early warning score(MEWS) combined with Braden score for the prognosis of emergency elderly critically ill patients. Methods A total of 204 emergency elderly critically ill patients admitted to our hospital from June 2018 to June 2020 were selected and were divided into survival group(n=140) and death group(n=64) according to the prognosis. The MEWS score and Braden score were compared between the two groups. Receiver operating characteristic (ROC) curve was used to analyze the predictive value of the MEWS score and Braden score for the prognosis of the elderly critically ill patients in emergency department. Results There were no significant differences in the gender ratio, age and other general information between the two groups. The MEWS score was significantly higher and the Braden score was significantly lower in the death group than that in the survival group (P<0.05). The mortality rate of emergency elderly critically ill patients with extremely high risk according to MEWS and Braden score was significantly higher than that of the patients with low risk. ROC curve analysis showed that MEWS and Braden score alone had a certain predictive value for the prognosis, with AUC (95%CI) of 0.732 (0.691-0.894), 0.713 (0.624-0.855) respectively. The predictive efficiency of the combination of two indicators [AUC (95%CI) : 0.895 (0.831-0.945)] for the prognosis was significantly higher than that of a single indicator. Conclusions The MEWS score combined with Braden score is of high value in assessing the prognosis of the elderly critically ill patients in emergency department, and can be used in clinic.

Key words: modified early warning score, Braden score, emergency elderly critically ill patients, prognosis, evaluation value

CLC Number:

R 592

MA Yan, ZHANG Yu-qin, ZHANG Chun-yan. Predictive value of modified early warning score combined with Braden score for the prognosis of emergency elderly critically ill patients[J]. Practical Geriatrics, 2022, 36(5): 483-486.

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Predictive value of modified early warning score combined with Braden score for the prognosis of emergency elderly critically ill patients

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