摘要
目的 分析改良早期预警评分系统与校正改良早期预警评分系统在院前急救的应用对比研究。方法选择我院急诊科于2023年1月-2024年1月内收治的100例患者为研究对象，将其按随机分组方法分为对照组（50例，实施改良早期预警评分）和观察组（50例，实施校正改良早期预警评分），对两组患者的24h留观意外事件发生率和30天内再次急诊率、患者去向情况（住院率、入住ICU、死亡率）以及患者满意度（护理制度、护理服务、护理沟通）进行对比与评估。结果 观察组患者的24h留观意外事件发生率和30天内再次急诊率均低于对照组（P＜0.05）。观察组患者的住院率、入住ICU、死亡率均低于对照组（P＜0.05）。观察组患者的满意度高于对照组（P＜0.05）。结论 在对院前急救患者实施校正改良早期预警评分系统可取得明显效果，显著降低患者的24h留观意外事件发生率和30天内再次急诊率、降低患者的住院率、入住ICU、死亡率，提高患者的满意度。在实际应用中展现出较高的价值，值得临床推广使用。
关键词： 改良早期预警评分系统；校正改良早期预警评分系统；院前急救
Abstract
Objective To analyze the comparative study of the application of modified early warning score system and modified early warning score system in pre-hospital emergency care. Methods 100 patients admitted to the emergency department of our hospital from January 2023 to January 2024 were selected as the study objects, and were randomly divided into control group (50 cases, modified early warning score) and observation group (50 cases, modified early warning score). The incidence of 24h observation accidents, re-emergency rate within 30 days, patient destination (hospitalization rate, ICU admission, mortality) and patient satisfaction (nursing system, nursing service, nursing communication) of the two groups were compared and evaluated. Results The incidence of 24h observation accident and the re-emergency rate within 30 days in the observation group were lower than those in the control group (P < 0.05). The hospitalization rate, ICU admission and mortality in observation group were lower than those in control group (P < 0.05). The satisfaction of observation group was higher than that of control group (P < 0.05). Conclusion The correction and improvement of early warning scoring system for pre-hospital emergency patients can achieve significant results, significantly reducing the incidence of 24h observation accidents and the rate of re-emergency within 30 days, reducing the rate of hospitalization, ICU admission, mortality, and improving patient satisfaction. It shows high value in practical application and is worthy of clinical promotion and use.
Key words： Improved early warning scoring system; Calibration and improvement of the early warning scoring system; Prehospital first aid
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