儿科早期预警系统评分对门诊急性呼吸道感染患儿分流及病情评估的价值［摘要］目的探讨儿科早期预警系统评分对门诊急性呼吸道查，收集2015年5月1日〜31日于在温州医科大学附属第二医院和温州市中西医结合医院呼吸科门诊就诊的急性呼吸道感染患儿资料，计算PEWS评分。比较住院及非住院患儿的PEWS评分,将住院患儿进一步按PEWS评分分为重症组与非重症组，比较两组之间患儿年龄、初诊至入院时间、住院费用及日平均费用等差异。结果研究期间共收集1954例患儿资料，大部分初诊患儿的PEWS评分W2分，M4分的患儿属于少数，入院患儿的PEWS评分高于非入院患儿。重症组与非重症组之间患儿年龄未见明显差异［90(69.5,150)vs93(72.5,152),P=0.750］,重症组从初诊至入院的时间明显较非重症组短［0(0,0.5)vs2(1,2),P<0.01］,住院费用［11035(8885,21541)vs4818(3749,6477.5),P<0.01］及日平均费用［1210(878,1964)vs611(544,717),P<0.01)］均较非重症组明显增高，并且死亡率明显高于重症组(23.1%vsO,P=0.003),但住院天数差异无统计学意义［10(6,16)VS8(6,12.5),P二0.297］。结论PEWS是简单有效的评分系统，在急性呼吸道感染患儿的门诊病情评估以及有感染患儿分流及病情评估的价值。方法本研究采用横断面调效分流中具有准确的指导作用，可做为一种常规的评估工具。［关键词］儿童早期预警评分;门诊分流；病情严重指标;急性呼吸道感染［中图分类号］R725.6［文献标识码］A［文章编号］1673-9701(2016)24-0008-04HUShidonglWUHaizhen2MAL订ilHUXiaohuil1.DepartmentofPediatricRespiratory,theSecondAffiliatedHospitalofWenzhouMedicalUniversity,Wenzhou325027,China；2.DepartmentofICU,WenzhouHospitalofCombinedTCMandWesternMedicine,Wenzhou325000,China[Abstract]ObjectiveToexplorethevalueofpediatrieearlywarningsystemscoreindistributionanddiseaseevaluationofinfantpatientswithacuterespiratoryinfectionsinoutpatientclinic・MethodsCross-sectionalinvestigationwasappliedinthisstudy.ThedataofinfantpatientswithacuterespiratoryinfectionswhowerediagnosedintheRespiratoryOutpatientofSecondAffiliatedHospitalofWenzhouMedicalUniversity,WenzhouHospitalofCombinedTCMandWesternMedicineFromMayltoMay31in2015werecollected,andPEWSscoreswerecalculated・PEWSscoreswerecomparedbetweenthehospitalizedpatientsandnon-hospitalizedpatients.ThehospitalizedinfantpatientswerefurtherassignedtotheXiaoguanglJIAseveregroupandnon-severegroupaccordingtothePEWSscores・Patients'age,timefromfirstdiagnosistoadmission,expensesofhospitalizationanddailyaverageexpenseswerecomparedandanalyzedbetweentwogroups・ResultsAtotalof1954infantpatientsdatawerecollectedinthestudyperiod,andPEWSscoreinmostpatientsinthefirstdiagnosiswasW2,andfewpatientswerewiththescoreofM4・ThePEWSscoreintheadmittedpatientswashigherthanthatinthenon-admittedpatients.Therewasnotsignificantdifferenceofpatients'agebetweentheseveregroupandnon-severegroup[90(69.5,150)vs93(72.5,152),P=0.750].Thetimefromfirstdiagnosistoadmissionintheseveregroupwassignificantlyshorterthanthatinthenon-severegroup[0(0,0.5)vs2(1,2),P〈0・01],andthehospitalizationexpenses[11035(8885,21541)vs4818(3749,6477.5),P<0.01]anddailyaverageexpenses[1210(878,1964)vs611(544,717),P〈0・01]wereallsignificantlyhigherthanthoseinthenon-severegroup・Themortalityratewassignificantlyhigherthanthatintheseveregroup(23.1%vs0,P=0・003),butthelengthofstaywasnotstatisticallysignificantlydifferent[10(6,16)vs8(6,12.5),P二0.297].ConclusionPEWSisasimpleandeffectivescoringsystem,andplaysanaccurateguidingroleintheevaluationofdiseasesinoutpatientclinicandeffectivedistributionintheinfantpatientswithacuterespiratoryinfections,whichcanbetakenasaregularevaluatio...