Mottl Roman
Fakultní nemocnice v Hradci Králové, Interní JIP, Klinika gerontologická a metabolická.
Cas Lek Cesk. 2010;149(5):221-4.
The delayed identification of an unstable patient may lead to the delayed management or the delayed transfer of the patient to the Intensive care unit and this can be related to the increase in the risk of death.
Early warning score (EWS) respectively modified early warning score (MEWS) is the system that helps in the early identification of the patient's deteriorating status and may decrease both mortality and morbidity.
The introducing of the specialized teams as Medical emergency team or more complex Intensive care unit outreach service is related to the increased chance of unstable patient to meet earlier medical support specialized in intensive care. The above mentioned specialized teams may--according to some data--reduce the hospital mortality, incidence of cardiorespiratory arrest as well as the incidence of the unplanned Intensive care unit admissions.
对不稳定患者的识别延迟可能导致对患者的管理延迟或将其转至重症监护病房延迟,这可能与死亡风险增加有关。
早期预警评分(EWS)以及改良早期预警评分(MEWS)是有助于早期识别患者病情恶化状态的系统,可能会降低死亡率和发病率。
引入诸如医疗急救团队或更复杂的重症监护病房外展服务等专业团队,与不稳定患者更早获得重症监护专业医疗支持的机会增加有关。根据一些数据,上述专业团队可能会降低医院死亡率、心肺骤停发生率以及非计划入住重症监护病房的发生率。