The value of a modified early warning scoring system combined with body temperature adjusted shock index for pre-hospital emergency condition assessment in patients with upper gastrointestinal bleeding
Objective To analyze the value of the modified early warning scoring system(MEWS)com-bined with body temperature adjusted shock index(ASI)in the pre-hospital emergency condition assessment in patients with upper gastrointestinal bleeding.Methods A total of 92 patients with upper gastrointestinal bleeding in prehospital emergency care in this hospital from January 2021 to January 2023 were selected,and the patients were classified into a moderately severe group(blood loss≥500 mL,61 cases),and a mild group(blood loss＜500 mL,31 cases)according to their different blood loss.The MEWS and ASI scores of patients in the 2 groups were compared to analyze the value of MEWS combined with ASI for pre-hospital emergency medical assessment of patients with upper gastrointestinal bleeding.Results The MEWS and ASI scores of patients in the moderately severe group were significantly higher than those of the mild group,and the differ-ences were statistically significant(P＜0.05);the MEWS and ASI scores were related to the patient's condi-tion,and the differences were statistically significant(OR=2.470,2.605,P＜0.05).The MEWS,ASI,and the combination of subjects used for the assessment of the condition of pre-hospital emergency care for patients with upper gastrointestinal bleeding The area under the working curve was 0.847,0.714,and 0.870,respec-tively,all of which had some assessment value,and the combined assessment of the patient's condition was more valuable.Conclusion Both MEWS and ASI have certain value in prehospital emergency condition as-sessment of patients with upper gastrointestinal bleeding,and the value of joint assessment of patients'condi-tion is higher.
Upper gastrointestinal bleedingModified early warning scoring systemTemperature-corrected shock index
万方数据
维普
