在COPD急性恶化患者中,风险评分的表现
Lídia Gomes1, Samuel Pereira1, Bernardo Sousa-Pinto2
1. Serviço de Pneumologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
概括
NEWS288-92%的得分安全地减少了对COPD恶化的监测,预测了通风需求和住院时间. 然而,DECAF和mDECAF得分对于预测这些患者的死亡率是优越的.
科学领域:
- 肺部病理学 肺部病理学
- 关键护理医学 关键护理医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 慢性肺炎的急性恶化 (AECOPD) 经常导致住院治疗,并造成临床恶化的重大风险.
- 准确的风险分层对于管理住院AECOPD患者和预测不良结果至关重要.
研究的目的:
- 评估住院AECOPD患者不良事件的入院评分系统的预测性能.
- 为了比较国家早期预警分数2 (NEWS2),NEWS288-92%,呼吸不良,异氨,凝固,酸血和心房 (DECAF),以及修改后的DECAF (mDECAF) 分数.
主要方法:
- 对119名接受AECOPD治疗的患者进行了回顾性研究.
- 在入学时计算NEWS2,NEWS288-92%,DECAF和mDECAF分数.
- 对住院死亡率,通风需求,长期住院,再入院和未来AECOPD事件的评分绩效的评估.
主要成果:
- NEWS288-92%降低了密切监测的需要,而不会增加低风险患者的死亡风险.
- 新闻2和新闻288-92%充分预测了需要非侵入性通风 (NIV) 和更长的住院时间.
- 与NEWS2和NEWS288-92%相比,DECAF和mDECAF得分显示出更好的预测住院死亡率.
结论:
- 与NEWS2.2%相比,NEWS288-92%提供了AECOPD患者临床监测的安全减少.
- 在预测住院时间和NIV要求方面,NEWS2和NEWS288-92%是有效的.
- DECAF和mDECAF得分仍然是预测AECOPD死亡率的首选工具.
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