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| Three different scoring methods in predicting outcomes in patients of internal emergency room |
| Yi Han-xiao, Yang Zhen, Zhang Min, Wang Shui-lian, Zhang Hua-jian, Kuang Yu-xian |
| The First Affiliated Hospital of Nanchang University, Nanchang 330006, China |
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Abstract Objective To study the assessment value of modified early warning score (MEWS), simple clinical score (SCS) and CRBP evaluation method on the prognosis of critical patients of internal emergency room. Methods MEWS score, SCS score and CRBP score were performed on 1176 patients in emergency room. The patients were divided into survival and death groups according to the outcomes, comparing the correlation between MEWS score, SCS score and CRBP score and the prognosis of emergency rescue patients. The area under the ROC curve was used to evaluate the value of these three scores in predicting patient death and intensive care unit admission. 〖WTHZ〗Results〓〖WTBZ〗The MEWS was (2.61±1.68), SCS was (6.72±2.81) and CRBP was (1.33±0.48) in survival group; in deah group, the three scores were (6.92±1.85), (11.58±2.41) and (2.68±0.96), respectively; these scores were higher than those in survival group. The area under ROC curve of predicting patient ICU admission of MEWS, SCS and CRBP score were 0.758, 0.716 and 0.702, respectively (P＜0.0001). The area under the ROC curve of predicting patient death of MEWS, SCS and CRBP scores were 0.947, 0.906 and 0.866 (P＜0.0001). The difference in area under the ROC curve of the ICU between MEWS and SCS score was significant (P=0.0073). The difference in area under the ROC curve of the ICU between MEWS and CRBP score was significant (P=0.0005), while there was no significant difference in area under the ROC curve of the ICU between SCS and CRBP (P=0.4876). The difference in area under the ROC curve of patients with death between MEWS and SCS score was significant (P＜0.001). The difference in area under the ROC curve of patients with death between MEWS and CRBP score was significant (P=0.0014), while there was no significant difference in area under the ROC curve of patients with death between SCS and CRBP (P=0.0997). Conclusion The three different score systems were useful in predicting outcomes of severe patients, and the MEWS combined with the CRBP score is more suitable for the emergency assessment system of the emergency room.
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Corresponding Authors:
Yang Zhen, E-mail: 64243156@qq.com
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