Compare the Ability of Early Warning Score And Modified Early Warning Score to Predict the Mortality of Emergency Admissions_West China Medical Journal

Authors：

HUANG Wenqi , HE Qing

Emergency Department, the West China Medicine Center, Sichuan University, Chengdu Sichuan 610041, China;

Corresponding?author：

Keywords：

急診; 早期預警評分; 改良早期預警評分; 住院患者; 死亡風險

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目的:比較早期預警評分(EWS)和改良早期預警評分(MEWS)預測急診住院患者死亡風險的能力。方法:隨機抽取409名四川大學華西醫院急診住院患者,采用EWS和MEWS對患者進行評分,使用ROC曲線比較兩者預測急診住院患者死亡風險的能力。結果:EWS預測患者住院的曲線面積為0.849±0.132,其最佳截斷值為4分;MEWS預測急診患者住院的曲線下面積為0.876±0.124,其最佳截斷值為5分。結論:MEWS較EWS對于預測急診住院患者死亡風險有較高的效能,還可以進一步改進提高其預測能力。

Citation： HUANG Wenqi,HE Qing. Compare the Ability of Early Warning Score And Modified Early Warning Score to Predict the Mortality of Emergency Admissions. West China Medical Journal, 2009, 24(8): 2044-2046. doi: Copy

1.	MCGLOIN H, ADAM S, SINGER M. Unexpected deaths and referrals to intensive care of patients on general wards. Are some cases potentially avoidable?[J]. Journal of the Royal College of Physicians of London,1999,33(3):255-259.
2.	MCQUILLAN P, PILKINGTON S, ALLAN A, et al. Confidential inquiry into quality of care before admission to intensive care[J]. BMJ, 1998, 316(7148):1853-1858.
3.	SUBBE C, KRUGER M, RUTHERFORD P, et al. Validation of a modified Early Warning Score in medical admissions[J].Qjm, 2001, 94(10):521-526.
4.	GOLDHILL D, MCNARRY A, MANDERSLOOT G, et al. A physiologicallybased early warning score for ward patients: the association between score and outcome[J]. Anaesthesia, 2005, 60(6):547-553.
5.	VON LILIENFELDTOAL M, MIDGLEY K, LIEBERBACH S, et al. Observationbased early warning scores to detect impending critical illness predict inhospital and overall survival in patients undergoing allogeneic stem cell transplantation[J]. Biology of Blood & Marrow Transplantation, 2007, 13(5):568-576.
6.	GARCEA G, JACKSON B, PATTENDEN CJ, et al. Progression of early warning scores (EWS) in patients with acute pancreatitis: a reevaluation of a retrospective cohort of patients[J]. Postgraduate Medical Journal, 2008, 84(991):271-275.
7.	PATERSON R, MACLEOD D, THETFORD D, et al. Prediction of inhospital mortality and length of stay using an early warning scoring system: clinical audit[J].Clinical Medicine, 2006, 6(3):281-284.
8.	CUTHBERTSON B, BOROUJERDI M, MCKIE L, et al. Can physiological variables and early warning scoring systems allow early recognition of the deteriorating surgical patient?[J]. Critical Care Medicine, 2007, 35(2):402-409.
9.	SUBBE C, DAVIES R, WILLIAMS E, et al. Effect of introducing the Modified Early Warning score on clinical outcomes, cardiopulmonary arrests and intensive care utilisation in acute medical admissions[J].Anaesthesia, 2003, 58(8):797-802.

1. MCGLOIN H, ADAM S, SINGER M. Unexpected deaths and referrals to intensive care of patients on general wards. Are some cases potentially avoidable?[J]. Journal of the Royal College of Physicians of London,1999,33(3):255-259.
2. MCQUILLAN P, PILKINGTON S, ALLAN A, et al. Confidential inquiry into quality of care before admission to intensive care[J]. BMJ, 1998, 316(7148):1853-1858.
3. SUBBE C, KRUGER M, RUTHERFORD P, et al. Validation of a modified Early Warning Score in medical admissions[J].Qjm, 2001, 94(10):521-526.
4. GOLDHILL D, MCNARRY A, MANDERSLOOT G, et al. A physiologicallybased early warning score for ward patients: the association between score and outcome[J]. Anaesthesia, 2005, 60(6):547-553.
5. VON LILIENFELDTOAL M, MIDGLEY K, LIEBERBACH S, et al. Observationbased early warning scores to detect impending critical illness predict inhospital and overall survival in patients undergoing allogeneic stem cell transplantation[J]. Biology of Blood & Marrow Transplantation, 2007, 13(5):568-576.
6. GARCEA G, JACKSON B, PATTENDEN CJ, et al. Progression of early warning scores (EWS) in patients with acute pancreatitis: a reevaluation of a retrospective cohort of patients[J]. Postgraduate Medical Journal, 2008, 84(991):271-275.
7. PATERSON R, MACLEOD D, THETFORD D, et al. Prediction of inhospital mortality and length of stay using an early warning scoring system: clinical audit[J].Clinical Medicine, 2006, 6(3):281-284.
8. CUTHBERTSON B, BOROUJERDI M, MCKIE L, et al. Can physiological variables and early warning scoring systems allow early recognition of the deteriorating surgical patient?[J]. Critical Care Medicine, 2007, 35(2):402-409.
9. SUBBE C, DAVIES R, WILLIAMS E, et al. Effect of introducing the Modified Early Warning score on clinical outcomes, cardiopulmonary arrests and intensive care utilisation in acute medical admissions[J].Anaesthesia, 2003, 58(8):797-802.

West China Medical Journal

Compare the Ability of Early Warning Score And Modified Early Warning Score to Predict the Mortality of Emergency Admissions

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