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| Application value of MEWS scoring assessment system in severe acute pancreatitis patients |
| LU Junhong NIU Yuying ZHANG Ying YANG Qian ZHAO Fengqun WANG Yan |
| Department of Emergency, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China |
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Abstract Objective To explore the effect of MEWS in the nursing of patients with acute pancreatitis in emergency department. Methods Totally 94 patients admitted in the Emergency Department of Beijing Friendship Hospital, Capital Medical University from January 2014 to March 2017 were evaluated by MEWS, and corresponding measures were taken according to the MEWS scores. Then, the relationship between MEWS scores and admission time, prognosis were analyzed, the satisfaction of nursing job before and after MEWS were compared. Results 6 patients died after treatment among 94 patients, with mortality rate of 6.38%. The average MEWS score of death group was higher than that of survival group, the difference was statistically significant (P ＜ 0.05). The mortality gradually elevated with the increase of MEWS score, and there were statistically significant differences in cure rate and improvement rate of the patients with different MEWS score (P ＜ 0.05). The cure rate of the patients with 0 point in MEWS score was the highest (100.00%), and the improvement rate of the patients with MEWS score ≥6 was the highest (75.00%). Through effective treatment measures, overall MEWS scores gradually declined, especially after 6 hours of admission, the decline was most pronounced. Conclusion MEWS score has the characteristics of convenient, quick and easy to master, can accurately reflect the state of illness and evaluate prognosis of the patients with SAP, also can obviously improve the nursing quality.
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