儿科早期预警系统评分对门诊急性呼吸道感染患儿分流及病情评估的价值.docVIP

儿科早期预警系统评分对门诊急性呼吸道感染患儿分流及病情 评估的价值 ［ ］目的探讨儿科早期预警系统评分对门诊急性呼吸道 感染患儿分流及病情评估的价值。方法本研究采用横断面调 感染患儿分流及病情评估的价值。 方法本研究采用横断面调 查，收集2015年5月1日?31日于在温州医科大学附属第二医 院和温州市中西医结合医院呼吸科门诊就诊的急性呼吸道感染 患儿资料，计算PEWS评分。比较住院及非住院患儿的PEWS评分, 将住院患儿进一步按PEWS评分分为重症组与非重症组，比较两 组之间患儿年龄、初诊至入院时间、住院费用及日平均费用等差 异。结果 研究期间共收集1954例患儿资料，大部分初诊患儿的 PEWS评分W2分，M4分的患儿属于少数，入院患儿的PEWS评 分高于非入院患儿。重症组与非重症组之间患儿年龄未见明显差 异［90 (69.5, 150) vs 93 (72.5, 152), P=0. 750］,重症组从 初诊至入院的时间明显较非重症组短［0 (0, 0.5) vs2 (1, 2), P0. 01］,住院费用［11035 (8885, 21541) vs 4818 (3749, 6477. 5), P0. 01］及日平均费用［1210(878, 1964) vs 611(544, 717), P0.01)］均较非重症组明显增高，并且死亡率明显高于 重症组(23. 1% vsO, P=0. 003),但住院天数差异无统计学意义 ［10 (6, 16) VS 8 (6, 12.5), P二0. 297］。结论 PEWS 是简单 有效的评分系统，在急性呼吸道感染患儿的门诊病情评估以及有 效分流中具有准确的指导作用，可做为一种常规的评估工具。 ［关键词］儿童早期预警评分;门诊分流；病情严重指标; ［关键词］儿童早期预警评分; 门诊分流；病情严重指标; 急性呼吸道感染 ［中图分类号］R725. 6 ［中图分类号］R725. 6 ［文献标识码］ A ［文章编号］ 1673-9701 (2016) 24-0008-04 Xiaoguangl JIAHU Shidongl WU Haizhen2 MA L订il HU Xiaoguangl JIA Xiaohuil 1.Department of Pediatric Respiratory, the Second Affiliated Hospital of Wenzhou Medical University , Wenzhou 325027, China； 2.Department of ICU, Wenzhou Hospital of Combined TCM and Western Medicine, Wenzhou 325000, China [Abstract] Objective To explore the value of pediatrie early warning system score in distribution and disease evaluation of infant patients with acute respiratory infections in outpatient clinic? Methods Cross-sectional investigation was applied in this study. The data of infant patients with acute respiratory infections who were diagnosed in the Respiratory Outpatient of Second Affiliated Hospital of Wenzhou Medical University , Wenzhou Hospital of Combined TCM and Western Medicine From Mayl to May31 in 2015 were collected, and PEWS scores were calculated? PEWS scores were compared between the hospitalized patients and non-hospitalized patients. The hospitalized infant patients were further assigned to the severe group and non-severe group according to the PEWS scores? Patients age, time from first diagnosis to admission, e