Early evaluation of national early warning score in acute pancreatitis
10.3760/cma.j.issn.1673-4904.2019.01.014
- VernacularTitle:英国国家早期预警评分对急性胰腺炎的早期评估
- Author:
Yong WANG
1
;
Zhi LIU
Author Information
1. 中国医科大学附属第一医院急诊科
- Keywords:
Pancreatitis;
APACHE;
Retrospective studies;
National early warning score;
Rason score
- From:
Chinese Journal of Postgraduates of Medicine
2019;42(1):54-57
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value of national early warning score (NEWS) to assess the severity and prognosis of acute pancreatitis. Methods The clinical data of 110 patients with acute pancreatitis from March to November 2016 were retrospectively analyzed. The NWES, Rason score and acute physiology and chronic health evaluation Ⅱ score (APACHE Ⅱ score) were calculated respectively. Correlation analysis was carried out with Pearson linear regression, and the receiver operating characteristic (ROC) curve was analyzed. Results Of the 110 patients with acute pancreatitis, the mild was in 84 cases, moderately severe in 8 cases, and severe in 18 cases. One hundred and three cases were cured;7 cases died, including 1 moderately severe case and 6 severe cases, and the mortality rate was 6.36％(7/110). The NEWS was (2.75 ± 2.47) scores. The NEWS scores of mild cases, moderately severe cases and severe cases were (1.92 ± 1.86) scores, (4.25 ± 1.58) scores, and (5.94 ± 2.43) scores, and there was statistical difference (P<0.05). NEWS was positively correlated with Rason score and APACHE Ⅱ score (r = 0.653 and 0.794, P<0.05). The area under curve (AUC) of NEWS predicting moderately severe and severe cases was 0.866. The cut off was 3 scores, and the sensitivity and specificity were 77.8％and 79.5％;the AUC of NEWS predicting death was 0.872. The cut off was 5 scores, and the sensitivity and specificity were 71.4％ and 89.3％. Conclusions NEWS score can early predict the severity and prognosis of acute pancreatitis.
