摘要
目的:回顾性分析一家教学医院EICU患者的临床特点,并探讨APACHEⅡ评分和SOFA评分对EICU患者预后的预测效能。方法:收集2021年1月至2022年9月中山大学孙逸仙纪念医院560例EICU患者数据进行回顾性分析,包括一般人口学资料、入EICU24小时内的APACHEⅡ评分和SOFA评分的最差值。通过ROC曲线研究两种评分对患者预后的预测能力。结果:两种方法均有效评估患者预后。其中APACHEⅡ评分ROC曲线下面积为0.89,最大约登指数下的临界值为17.5分;SOFA评分ROC曲线下面积为0.92,最大约登指数下的临界值为5.5分。结论:两种评分均可有效评估EICU患者预后,SOFA评分具有更高的预测效能。
Objective:To retrospectively investigate the clinical characteristics of EICU patients in a teaching hos⁃pital,and compare the efficacy in predictingthe outcome of EICU patients between APACHEⅡscore and SOFA score.Methods:Measurement obtained from 560 patients admitted to EICU in Sun Yat⁃Sen Memorial Hospital during January 2021 to September 2022,including the general demographic data,the worst value of APACHEⅡscore and SOFA score within 24 hours after admission to EICU,were collected and analyzed.Receiver operating characteristic curve(ROC)was used to study the predictive ability of APACHEⅡscore and SOFA score for the prognostic outcome of patients.Re⁃sults:ROC curve analysis showed that both APACHEⅡscore and SOFA score were effective in evaluating the progno⁃sis of patients.The area under the ROC curve of APACHEⅡscore was 0.89,and the critical value under the maximum Youden index was 17.5.whereas the area under the ROC curve of SOFA score was 0.92,and the cut⁃off value under the maximum Youden index was 5.5.Conclusion:Both APACHEⅡscore and SOFA score are effective in evaluating the prognosis of EICU patients.Moreover,we find that SOFA score is more effective in predicting the prognosis.
作者
甘斯婷
李万杰
伍靓靓
方向韶
GAN Si-ting;LI Wan-jie;WU Liang-liang;FANG Xiang-shao(Emergency medicine,Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University,Guangdong,510120;Emergency medicine,Puning people's Hospital,Guangdong)
出处
《岭南急诊医学杂志》
2023年第2期105-107,共3页
Lingnan Journal of Emergency Medicine
关键词
急诊重症监护病房
预后
临床特点
APACHEⅡ评分
SOFA评分
emergency intensive care unit
prognosis
clinical characteristics
acute physiology and chronic health evaluationⅡ
sequential organ failure assessment
作者简介
通信作者:方向韶。
