评分系统对患有密码球菌病的患者死亡风险的预测性表现:一项观察性研究
Wei-Kai Liao1,2,3,4,5,6, Ming-Shun Hsieh6,7,8, Sung-Yuan Hu1,2,3,4,6
1Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan.
Journal of personalized medicine
|September 28, 2023
概括
这项研究评估了评分系统,以预测加密球菌真菌病患者的死亡率. 修改早期预警分数 (MEWS) 加上格拉斯哥昏迷度量表 (GCS) 和真菌真菌感染严重程度分数 (MEDS) 显示出最好的预测性能.
科学领域:
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
- 医疗信息学 医疗信息学
背景情况:
- 加密球菌真菌病,通常在免疫力低下的人群中见到,携带高死亡风险.
- 预测加密球菌真菌病的死亡率对于及时和有效的治疗至关重要.
- 现有的评分系统可能有助于对患有密码球菌真菌病的患者进行风险分层.
研究的目的:
- 评估各种评分系统在预测加密球菌真菌病患者死亡风险方面的表现.
- 确定该患者群体中风险分层的最有效的评分系统.
主要方法:
- 42名患有密码球菌真菌病的患者的回顾性研究通过血液培养证实.
- 对人口统计数据,临床参数和结果的分析.
- 使用ROC曲线和考克斯回归的修改早期预警分数 (MEWS),RAPS,qSOFA,MEWS加GCS,REMS,NEWS和MEDS的预测准确度的比较.
主要成果:
- 总体死亡率为64.3%.
- 所有评估的评分系统都显示出对死亡率的显著预测价值.
- 菌类真菌感染严重性评分 (MEDS) 呈现了0.905的曲线下的最高面积 (AUC),表明了卓越的性能.
结论:
- 不同的评分系统适用于预测加密球菌真菌病的结果.
- 在评估的死亡率预测系统中,MEDS表现最好.
- 建议进行进一步的大规模前性研究以验证这些发现.
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