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이주리 ( Lee Ju-Ry ) - 서울아산병원 의료비상팀
최혜란 ( Choi Hye-Ran ) - 울산대학교 의과대학 임상간호
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Abstract
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Purpose: To assess whether the Modified Early Warning Score (MEWS) predicts the need for intensive care unit (ICU) transfer for patients with severe sepsis or septic shock admitted to general wards.
Methods: A retrospective chart review of 100 general ward patients with severe sepsis or septic shock was implemented. Clinical information and MEWS according to point of time between ICU group and general ward group were reviewed. Data were analyzed using multivariate logistic regression and the area under the receiver operating characteristic curves with SPSS/WIN 18.0 program.
Results:Thirty-eight ICU patients and sixty-two general ward patients were included. In multivariate logistic regression, MEWS (odds ratio [OR] 2.02, 95% confidence interval [CI] 1.43-2.85), lactic acid (OR 1.83, 95% CI 1.22-
2.73) and diastolic blood pressure (OR 0.89, 95% CI 0.80-1.00) were predictive of ICU transfer. The sensitivity and the specificity of MEWS used with cut-off value of six were 89.5% and 67.7% for ICU transfer.
Conclusion: MEWS is an effective predictor of ICU transfer. A clinical algorithm could be created to respond to high MEWS and intervene with appropriate changes in clinical management.
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KeyWords
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조기대응팀, 패혈증, 패혈성 쇼크, 수정조기경고점수, 중환자실
Hospital rapid response team, Sepsis, Septic shock, Modified early warning score, Intensive care unit
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원문 및 링크아웃 정보
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등재저널 정보
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