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对严重头部损伤的利兹预后得分的评估

Z Feldman¹, C F Contant, C S Robertson

¹Department of Neurosurgery, Baylor College of Medicine, Houston, TX 77030.

Lancet (London, England)

|June 15, 1991

概括

预测严重头部损伤患者死亡的利兹尺度是不可靠的. 它不准确地预测了追溯和前性患者组的死亡率,需要在临床决策中谨慎应用.

科学领域:

神经学神经学
临界护理医学临界护理医学
医学预测医学预测

背景情况:

利兹尺度用于预测严重头部损伤的死亡率.
准确的预测至关重要,因为治疗中止的伦理和法律影响.

研究的目的:

评估利兹尺度在预测严重头部损伤患者死亡率方面的可靠性.
在回顾和前的队列中评估尺度的准确性.

主要方法:

李兹尺度被应用到479名患者后期和131名患者前性.
死亡率与评分>13和<=13的患者的比例预测进行了比较.

主要成果:

利兹尺度未能在两组中预测死亡率100%的准确性.
在追溯组中,得分>13的患者中有69.6%死亡,得分<=13的患者中有83.3%存活下来.
在前组中,得分>13的患者中有60%死亡,得分<=13的患者中有81%存活.

结论:

利兹尺度对于预测严重头部伤害死亡率并非无误.
关于早期终止护理的临床决定应该谨慎地做出,考虑到规模的局限性.

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