在急性肺栓塞的早期死亡风险分层中,qsofa的预测价值
Elvan Senturk Topaloglu1, Funda Oztuna1, Olcay Aycicek1
1Department of Pulmonology, Karadeniz Technical University Faculty of Medicine, Trabzon, Turkey.
Heart & lung : the journal of critical care
|August 5, 2023
概括
快速序列性器官衰竭评估 (qSOFA) 评分有效地分层了急性肺血栓栓塞 (PTE) 患者的早期死亡风险. 高的qSOFA分数可以识别需要紧急干预的个体,在没有实验室数据的情况下提供快速评估.
科学领域:
- 紧急医疗 紧急医疗
- 关键护理医学 关键护理医学
- 心脏病学 心脏病学
背景情况:
- 急性肺血栓塞栓症 (PTE) 需要准确的严重程度评估,以便及时治疗.
- 目前的方法,如肺栓塞严重性指数 (PESI) 和简化PESI (sPESI) 是已知的工具.
- 需要在急性PTE中进行快速,实验室独立的风险分层.
研究的目的:
- 评估急性PTE中快速死亡风险分层的快速顺序器官衰竭评估 (qSOFA) 评分.
- 为了比较qSOFA与PESI和sPESI在预测早期死亡率方面的有效性.
- 为了识别急性PTE患者,可能需要立即进行再输血治疗.
主要方法:
- 对123名被诊断患有急性PTE的患者进行前性观察性研究.
- 计算所有纳入患者的PESI,sPESI和qSOFA分数.
- qSOFA得分与早期死亡风险分层的相关性.
主要成果:
- 高的qSOFA得分 (≥2) 与急性PTE中高风险的早期死亡分层显著相关 (p < 0.001).
- 69.2%的高qSOFA得分的患者被正确地归类为高风险组 (p < 0.0001).
- qSOFA在识别高风险出现不良结果的患者方面表现出有效性.
结论:
- qSOFA评分是急性PTE快速死亡风险分层的一个有价值的工具.
- qSOFA可以指导临床决策,特别是在识别需要紧急再输血治疗的患者时.
- 这种评分系统提供了一个快速的,独立于实验室结果的临床评估.
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