Value of England National Early Warning Score in evaluating prognosis of elderly patients with severe sepsis and septic shock in emergency department
10.7619/jcmp.201715001
- VernacularTitle:英国国家早期预警评分对急诊老年严重脓毒症及脓毒症休克患者预后的评估价值
- Author:
Chunyuan WANG
1
;
Tao CAO
;
Jian QIN
;
Jianpeng ZHANG
Author Information
1. 首都医科大学宣武医院 急诊科
- Keywords:
national early warning score;
elderly sepsis patients;
prognosis
- From:
Journal of Clinical Medicine in Practice
2017;21(15):1-4
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the value of England National Early Warning Score(NEWS) for the prognosis of elderly patients with severe sepsis and septic shock in emergency department.Methods A total of 116 elderly patients with severe sepsis and septic shock in Xuanwu Hospital of Capital Medical University were selected.Routine physiological and biochemical indicators were collected and NEWS score, APACHEⅡscores and SOFA scores were given to them.The follow-up was lasted for 28 d, and afterwards the patients were divided into survival group and death group according to the prognosis.The NEWS scores, APACHEⅡ scores and SOFA scores of two groups were compared.And above indicators were also compared between the severe sepsis and septic shock patients.Meanwhile, the correlation between NEWS scores, and APACHEⅡ scores, SOFA scores were analyzed.The value of NEWS scores for the prognosis of elderly patients with severe sepsis and septic shock was predicted by the area under the ROC curve(AUC).Results The NEWS scores, and APACHEⅡ scores, and SOFA scores in septic shock group were higher than that in severe sepsis group, and the death group was higher than survival group(P<0.05).NEWS scores showed a correlation with APACHEII scores and SOFA scores(P<0.05).The areas under the ROC curve of NEWS scores, APACHEII scores and SOFA scores were 0.870, 0.880, 0.865, respectively.Conclusion NEWS scores could evaluate the condition and prognosis of elderly patients with severe sepsis and sepsis shock, and the consistently higher scores of NEWS is associated with poorer prognosis.
