The value of waring score of potential critical disease in predicting changes in condition of patients with multiple injuries
10.3969/j.issn.1006-5725.2014.06.030
- VernacularTitle:潜在危重病预警评分在多发性创伤患者病情变化中的预测价值
- Author:
Zhengguang WANG
;
Mucheng ZHANG
;
Lide XIE
;
Shaopeng ZHENG
;
Rong HUANG
;
Xiangqun FANG
- Publication Type:Journal Article
- Keywords:
Waring score of potential critical disease;
Modified early waring score (MEWS)
- From:
The Journal of Practical Medicine
2014;(6):928-930
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value of waring score of potential critical disease in predicting changes in condition of patients with multiple injuries. Methods From January 1, 2013 to July 31, 2013, all patients with multiple injuries were included prospectively. Patients were observed as soon as ICU admission. The waring score of potential critical disease and MEWS of all patients and the rates of changes in condition of patients were calculated then statistic analysis was performed. Results Of 50 patients enrolled, 44 were survived and 6 were died and 295 changes were found. The maximum , minimum median (P25, P75) of waring score of potential critical disease were 22, 0, 5 (3, 7). The maximum, minimum median (P25, P75) of MEWS were 12, 0, 4 (2, 6). The area under the ROC of waring score of potential critical disease was 0.880 (95% CI, 0.813-0.947, P < 0.001). Youden index was the biggest when waring score of potential critical disease was 6.5. The area under the ROC of MEWS was 0.767 (95% CI, 0.661-0.873, P < 0.001). Youden index was the biggest when MEWS was 5.5. Conclusion The waring score of potential critical disease was effective to predict changes in conditions of patients with multiple injuries and better than MEWS.
