CAJ | 학술논문

目的：探讨儿童早期预警评分在意外伤害急诊患儿病情评估中的应用。方法2013年1月—2015年1月选取120急诊入院患儿400例，在患儿就诊后1 h内由急诊科护士对意外伤害急诊患儿采用儿童早期预警评分评估病情。观察意外伤害急诊患儿的儿童早期预警评分不同得分情况患儿入住ICU情况，包括是否入住ICU、住院时间及病死率。结果儿童早期预警评分不同得分患儿的年龄、交通事故、跌倒/坠落、窒息/溺水、锐/钝器伤等基本资料的比较差异无统计学意义（P>0.05）。儿童早期预警评分不同得分患儿入住ICU、住院时间和病死率的比较，差异均有统计学意义（P<0.05），儿童早期预警评分得分较高患儿，入住ICU比例较高，住院时间较长，病死率较高。结论儿童早期预警评分可较准确评估意外伤害急诊患儿的病情，为意外伤害急诊患儿分诊及疾病治疗提供参考依据。
목적：탐토인동조기예경평분재의외상해급진환인병정평고중적응용。방법2013년1월—2015년1월선취120급진입원환인400례，재환인취진후1 h내유급진과호사대의외상해급진환인채용인동조기예경평분평고병정。관찰의외상해급진환인적인동조기예경평분불동득분정황환인입주ICU정황，포괄시부입주ICU、주원시간급병사솔。결과인동조기예경평분불동득분환인적년령、교통사고、질도/추락、질식/닉수、예/둔기상등기본자료적비교차이무통계학의의（P>0.05）。인동조기예경평분불동득분환인입주ICU、주원시간화병사솔적비교，차이균유통계학의의（P<0.05），인동조기예경평분득분교고환인，입주ICU비례교고，주원시간교장，병사솔교고。결론인동조기예경평분가교준학평고의외상해급진환인적병정，위의외상해급진환인분진급질병치료제공삼고의거。
Objective To investigate the effect of Pediatric Early Warning Score (PEWS) System in accident emergency nursing triage assessment. Methods Four hundred children in pediatric emergency department from January, 2013 to January, 2015 were selected and their illness severity were assessed by PEWS scores by nurses. ICU admission rate, length of hospital stay, and mortality of children with different PEWS scores were observed. Results Basic information of children with different PEWS scores such as age, traffic accidents, fall, asphyxia, drowning, sharp/blunt injury had no statistical significant differences ( P>0.05). ICU admission rate, length of hospital stay, and mortality of children with different PEWS scores showed statistical significant difference ( P<0.05). Children with higher PEWS score had higher ICU admission rate, longer hospital stay time and higher mortality. Conclusion PEWS system is effective for the assessment of illness severity and provides reference for triage and treatment of unintentional children injuries.