Relevant clinical research of adjusted shock index and modified early warning score to evaluate the severity of emergency medical illness
Abstract：Objective To investigate the relevancy between adjusted shock index (ASI) and modified early warning score ( MEWS) while they are assessing the risk of emergency medical illness . Methods 10 986 cases of emergency medical patients from August 1, 2013 to November 1, 2013 in our emergency department were selected .To assess the risk and outcome of emergency medical illness by ASI compared with by MEWS . Results A total of 3769 patients were cured and left hospital (34.307%), 4150 needed emergency observation (37.775%), 2359 transferred to wards for treatment (21.473%), 694 to ICU (6.317%), 14 died in emergency rooms (0.128%).There was correlation between MEWS scores and outcomes of cases with 0.425 of Spearman's correlation coefficient ( P <0.01).ASI scores had correlation with outcomes of cases with 0.321 of Spearman's correlation coefficient( P <0.01 ).ASI scores and MEWS scores were correlative statistically with 0.532 of Spearman's correlation coefficient , P<0.01.ASI scores were statistically different among the MEWS score<5, 5~9, >9 and so on three levels groups .ASI as 0.69 ±0.02, 0.92 ±0.07, 1.06 ±0.10 and so on three levels had significant positive correlation with the outcomes of cases .Conclusion There was a positive correlation between ASI and MEWS score which can both help medical personnel to assess patients'acuity levels rapidly , especially ASI , as more simple to be remembered , easier to be worked out , more shortcut to be used , is worth further studying in the emergency department .
Keywords：Risk assessmentAdjusted shock index ( ASI)Shock indexModified early warning score(MEWS)Emergency triage
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 1022-1024 )