儿科早期预警评分系统的开发和应用状况

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摘要儿科早期预警评分（PEWS）是一类用于早期识别患儿病情恶化风险的评分工具，其评分指标通过物理检查即可获取，由于简单、方便，在儿科急诊、普通病房、重症监护病房及患儿转运中广泛应用。PEWS 有多种版本，除了布莱顿儿科早期预警评分和床边儿科早期预警系统评分外，其他评分系统有效性的证据仍有限，需要大数据、多中心、前瞻性研究进一步验证。期待制定国家或区域PEWS 标准，推动PEWS 使用规范化。

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关键词 ：儿科, 早期预警评分, 改良早期预警评分, 危重疾病

Abstract：Pediatric early warning score (PEWS) is a kind of scoring instrument for early identification of children′s disease deterioration risk.Its scoring index can be obtained by physical examination.Because of its simplicity and convenience,PEWS is widely used in pediatric emergency department,pediatric general ward,pediatric intensive care unit and sick children transport.PEWS has many versions.Except for the Brighton pediatric early warning score and bedside pediatric early warning system score,it is still limited about the evidence of the effectiveness of other scoring systems.They need to be further verified by big data,multi center and prospective research.It is expected to formulate national or regional PEWS standards to promote the standardization of PEWS use.

Key words： Pediatric Early warning score Modified early warning score Critical illness

基金资助:广西壮族自治区卫生健康委员会自筹经费科研课题（Z20190169）

引用本文:

姜叶洁；冯庆红. 儿科早期预警评分系统的开发和应用状况[J]. 中国当代医药, 2021, 28(5): 20-23.
JIANG Ye-jie FENG Qing-hong. Development and application status of pediatric early warning scoring system. 中国当代医药, 2021, 28(5): 20-23.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2021/V28/I5/20

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