在确诊的COVID-19患者中,qSOFA的预测性表现呈现在急诊室
Farhad Heydari1, Saeed Abbasi2, Kiana Shirani3
1Department of Emergency Medicine, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Tzu chi medical journal
|June 1, 2023
概括
快速序列器官衰竭评估 (qSOFA) 得分有效预测COVID-19死亡率,与其他已建立的得分相似. 这使得qSOFA成为快速识别高风险患者的宝贵工具.
科学领域:
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 早期识别2019年冠状病毒严重疾病 (COVID-19) 病例对于患者管理至关重要.
- 快速序列器官衰竭评估 (qSOFA) 评分是快速风险分层的一个潜在工具.
研究的目的:
- 评估qSOFA得分在预测COVID-19患者的严重程度和死亡率方面的准确性.
- 为了比较qSOFA对系统性炎症反应综合征 (SIRS),肺炎严重性指数 (PSI) 和混乱,尿素,呼吸速率,血压,65岁及以上 (CURB-65) 评分的预测性能.
主要方法:
- 一项前性观察性研究包括了894名COVID-19患者进入急诊室.
- 收集了临床数据,并使用接收器操作特征 (AUROC) 曲线分析评估了qSOFA,SIRS,PSI和CURB-65对14天死亡率的预测准确性.
主要成果:
- 预测COVID-19死亡率的接收器操作特征曲线 (AUROC) 下面的区域是:qSOFA (0.799),CURB-65 (0.829),PSI (0.830) 和SIRS (0.759).
- 所有评估的得分都显示出对COVID-19死亡率的良好预测能力.
- 与幸存者相比,没有幸存的患者年龄大得多,并患有更多的并发病.
结论:
- 在预测COVID-19死亡率方面,qSOFA得分表现优于SIRS,准确度与CURB-65和PSI相比.
- qSOFA是一种简单,快速和有效的查工具,用于识别高危严重结果的COVID-19患者.
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