文章摘要
喻龙姗,何宗保,王高生,张连荣,李婷婷,许名.HEART评分和改良早期预警系统评分在急诊胸痛患者预后评估中的价值比较[J].中国临床保健杂志,2018,21(6):831-834.
HEART评分和改良早期预警系统评分在急诊胸痛患者预后评估中的价值比较
Comparison of value of HEART score and modified early warning score for the prognosis evaluation of patients with acute chest pain
投稿时间：2018-06-12  
DOI：10.3969/J.issn.1672-6790.2018.06.028
中文关键词: 胸痛  预后  症状评估
英文关键词: Chest pain  Prognosis  Symptom assessment 〖FL
基金项目:
作者单位E-mail
喻龙姗 中国科技大学附属第一医院安徽省立医院南区急诊科,合肥 230036 wgs2018@126.comheart 
何宗保 中国科技大学附属第一医院安徽省立医院南区急诊科,合肥 230036 wgs2018@126.comheart 
王高生 中国科技大学附属第一医院安徽省立医院南区急诊科,合肥 230036 wgs2018@126.comheart 
张连荣 中国科技大学附属第一医院安徽省立医院南区急诊科,合肥 230036 wgs2018@126.comheart 
李婷婷 中国科技大学附属第一医院安徽省立医院南区急诊科,合肥 230036 wgs2018@126.comheart 
许名 中国科技大学附属第一医院安徽省立医院南区急诊科,合肥 230036 wgs2018@126.comheart 
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中文摘要:
      目的 探讨HEART和改良早期预警系统评分(MEWS)在急诊胸痛患者预后评估中的应用价值。方法 回顾性分析398例急性胸痛患者的临床资料,分别计算患者HEART评分、MEWS评分的基线水平,以及患者急诊住院和30 d内死亡的情况。分析并比较两种评分系统对急诊胸痛患者预测价值的差异。结果 HEART评分与MEWS评分相比,HEART评分对患者急诊住院有更高的预测价值[AUC=0.952,95% CI为0.921~0.973；AUC=0.749,95% CI为0.696~0.797；P<0.01]。但两者在患者30 d死亡预测价值的95%可信区间明显重叠[AUC=0.877,95% CI为0.834~0.912；AUC=0.905,95% CI为0.866~0.936;P=0.68]。结论 HEART评分和MEWS评分均能对急性胸痛患者的病情及预后有较好的临床预测价值。HEART评分在患者急诊住院的预测价值高于MEWS评分,但两者在对患者30 d内死亡预测价值上差异无统计学意义。
英文摘要:
      Objective To compare the application value of HEART score and MEWS score for patients with acute chest pain in emergency department.Methods The clinic data of 398 patients with acute chest pain were retrospectively analyzed,and the base line level HEART score and MEWS score,and the patients hospitalized in emergency and died within 30 days were calculated.The difference in predictive value of two scores was analyzed and compared.Results Compared with MEWS score,the HEART score has higher predictive value than the hospitalized patients in emergency department [AUC=0.952,5% CI (0.921-0.973) vs AUC=0.749,5% CI (0.696-0.797),P<0.01].However,95% confidence interval of them in the predicative value of patients dead within 30d was obviously overlapped [AUC=0.877,5% CI (0.834-0.912) vs AUC=0.905,5% CI(0.866-0.936),P=0.68].Conclusion Both HEART and MEWS scores have clinically predictive value to the state and prognosis of patients with acute chest pain.HEART score is superior than MEWS score on emergency hospitalization.However,there is no statistical difference for them in the predictive value for patients death within 30 d.
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