Study on the Diagnostic and Prognostic Predictive Value of Enhanced CT Combined with MEWS Score for Mesenteric Injury
Objective To analyze the diagnostic accuracy of enhanced CT combined with MEWS score on mesenteric injury and assess its value in predicting prognosis.Methods A retrospective study was conducted in 90 randomly selected patients who came to our hospital for mesenteric injury from January 2018 to December 2022.All patients were given an enhanced CT examination and NEWS score upon presentation.To compare the accuracy and leakage rate of enhanced CT,MEWS score and the combination of the two in the diagnosis of mesenteric injury.To compare the prognosis of patients with different MEWS scores.This includes the length of stay of patients,the length of ICU stay mechanical ventilation,and the rate of complications.Results The accuracy distribution of enhanced CT and MEWS score applied alone to diagnose mesenteric injury was 63.33％and 36.67％,both significantly lower than the accuracy of 86.67％for the combined test of both,and statistically different(P＜0.05).the length of hospital stay,ICU stay,and length of mechanical ventilation in patients with MEWS score＞9 exceeded those with score＜9 and were statistically different(P＜0.05).A total of 9 complications occurred in patients with MEWS score＞9,with an incidence rate of 27.27％,which was significantly higher than the 4 cases in patients with score＜9,7.02％,and statistically different(P＜0.05).Conclusion Enhanced CT combined with MEWS score can significantly increase the diagnostic accuracy of mesenteric injury and reduce the rate of missed diagnosis,and the NEWS score has important guiding value for predicting patient prognosis.
万方数据
维普
