Value of predicting prognosis of patients with heat stroke by three scoring methods
10.3760/cma.j.cn121094-20191209-00558
- VernacularTitle:三种评分方法对热射病临床预后的预测价值
- Author:
Hongyuan ZHANG
1
;
Haishan LI
Author Information
1. 230000 合肥市第二人民医院急诊科
- Keywords:
Heat stroke;
Prognosis;
Prediction;
Rapid emergency medicine score (REMS);
Modified early warning score (MEWS);
Logistic organ dysfunction score (LODS)
- From:
Chinese Journal of Industrial Hygiene and Occupational Diseases
2020;38(5):358-361
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the predictive value of different scoring methods for the prognosis of patients with hyperthermia.Methods:In September 2019, the clinical data of 49 patients with heat radiation disease in the second people's Hospital of Hefei were collected retrospectively. According to the prognosis of patients, they were divided into survival group (32 cases) and death group (17 cases) . The rapid emergency medicine score (REMS) , modified early warning score (modified early warning score) were calculated respectively Score (mews) , logistic organ dysfunction system (LODs) and the differences between the two groups were compared. ROC curve was used to evaluate the accuracy of various scores in the prognosis of patients with heat radiation disease.Results:the fatality of heat stroke was 34.69%, there were significant differences of REMS, MEWS and LODS between the two groups ( P<0.05) , the area under ROC curve (AUC) of REMS, MEWS and LODS to predicting prognosis of heat stroke was (0.696±0.076, 95% CI: 0.548 to 0.844, P<0.05, 0.692±0.079, 95% CI: 0.536 to 0.848, P<0.05, 0.787±0.063, 95% CI: 0.663 to 0.911, P<0.05) respectively. Conclusion:There are valuable for predicting prognosis of patients with heat stroke by REMS, MEWS and LODS, especially the LODS, the REMS and MEWS are simple and easy.
