Effect of modified early MEWS score system on triage efficacy for emergency patients with chest pain
10.7619/jcmp.201722007
- VernacularTitle:改良早期预警评分系统对急诊胸痛患者预检分诊效果的影响
- Author:
Xiaoling SONG
1
;
Xianying LIU
;
Xiaoqiu LONG
Author Information
1. 四川省宜宾市第一人民医院急诊科
- Keywords:
early warning score;
emergency chest pain;
triage;
nursing
- From:
Journal of Clinical Medicine in Practice
2017;21(22):19-21
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the modified early warning scoring system (MEWS) for patients with chest pain and the clinical effect of triage.Methods A total of 381 cases using the modified early warning scoring system (MEWS) from August 2016 to February 2017 were as the observation group,and another 381 cases from January to July 2016 applied the routine examination were as the control group.Waiting time and triage accuracy rate and mortality data were recorded and statistical analyzed.Results The study found that the waiting time of patients in the observation group was (9.28 ± 2.39) min,which was significantly lower than (22.37 ± 5.48) min in the control group.Acute myocardial infarction (STEMI) patients with aortic dissection,the number of cases and non ST segment elevation myocardial infarction (NSTEAM) cases have little significant difference,and their accurate rate of the observation group were 244 cases (93.13％),78 cases (90.70％),21 cases (95.45％),respectively,which were higher than that of the control group (P ＜ 0.05).The mortality of patients with STEMI,aortic dissection and non ST segment elevation myocardial infarction (NSTEAM) in the observation group were 2.36％,0.52％ and 0,respectively,which were lower than that in the control group (P ＜ 0.05).Conclusion The triage effect of modified early warning scoring system (MEWS) for patients with chest pain is more significant compared with the conventional diagnosis,and it can effectively reduce the waiting time and the mortality rate.
