Early-warning investigation of death risk in patients with cerebrovascular disease and its influencing factors

Abstract

Objective To investigate the risk of death and its influencing factors in patients with cerebrovascular disease. Methods Totally 123 cases of death patients with cerebrovascular disease in Shanghai from January to December of 2015 were selected as the research subject. Self-designed questionnaire and the National Early Warning Score (NEWS) were used to investigate the clinical data of 24 h before the death and analysis the causes affecting the early warning score. Results The average score of NEWS in patients with cerebrovascular disease was (7.18±2.40) , among which the number of low risk group was 0 (0%) , the number of moderate risk group was 53 (43.1%) with the average score of (4.87±1.09) and the number of high risk group was 70 cases (56.9%) with average score of (8.93±1.49) . Multiple linear regression analysis showed that the duration of disturbance of consciousness, the number of indwelling tube, pressure sores or not affect the NEWS assessment of disease severity (P<0.05) . Conclusions The duration of disturbance of consciousness, the number of indwelling tube and the pressure sore or not are the influencing factors of the severity of the disease in the cerebrovascular disease patients. Targeted nursing assessment in patients with cerebrovascular disease help to promote the adverse outcomes of patients. Key words: Cerebrovascular disease; Death; Early warning; Influencing factor