Application effect of early warning scoring system in condition evaluation of high risk neonates
10.3760/cma.j.issn.1674-2907.2016.23.025
- VernacularTitle:高危新生儿预警评分系统（MEWS）的研究与应用
- Author:
Chunxin CHI
1
;
Baoqin TAN
;
Haiping HOU
;
Jun LIN
;
Ting WEI
Author Information
1. 528415 中山，南方医科大学附属小榄医院新生儿科
- Keywords:
High-risk neonate;
Early warning scoring system;
Children′s early warning scoring system
- From:
Chinese Journal of Modern Nursing
2016;22(23):3354-3356,3357
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application effect of early warning scoring system in condition evaluation of high risk neonates. Methods 120 high-risk neonates born in our hospital were selected as observation group and 150 normal newborns in the same period as control group. Early warning scoring system and children′s early warning score system were conducted to both groups, and the results were compared.Results In the early warning scoring system, frequency of breath, cardiac rhythm, respiratory distress, and lethargy/coma in the observation group was significantly higher than that in the control group ( P<0.05);but body temperature showed no apparent change in both groups (P>0.05); early warning scores of 105 neonates in the observation group were not lower than 2 points, with the most going to respiratory diseases, sepsis, congenital heart disease and unexplained seizures;in the two scoring systems, scores of sensitivity, Youden index, negative predictive value and positive predictive value were significantly different ( P<0.05); specificity of the two groups showed no obvious contrast (P>0.05); area under the curve showed obvious difference between the two groups (P<0. 05) . Conclusions Early warning scoring system can evaluate effectively condition changes of high-risk neonates, reflect accurately their severity, and has fine flexibility and operability. It is worth promoting in clinic.
