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评分系统的比较:SOFA,APACHE-II,LODS,MODS和SAPS-II在严重疾病的老年败血症患者中的评分系统

Bilal Tekin¹, Jehat Kiliç², Gürhan Taşkin³

¹University of Health Sciences, Gülhane School of Medicine, Department of Internal Medicine, Ankara, Turkey.

Journal of infection in developing countries

|February 20, 2024

概括

预测得分系统,如SOFA和APACHE-II准确地预测严重病情的老年败血症患者的死亡率. 这些经过验证的工具有助于评估风险并指导对此脆弱人群的护理.

科学领域:

老年医学老年医学
临界护理医学临界护理医学
败血症研究败血症研究

背景情况:

老年患者代表了在重症监护中独特的人口统计.
现有的成年预后评分系统需要对老年败血症人口进行验证.
准确的死亡率预测对于管理重病老年人至关重要.

研究的目的:

评估常用的评分系统的预测价值,以评估严重疾病的老年败血症患者的死亡率.
为了验证顺序器官衰竭评估 (SOFA),APACHE-II,物流器官功能障碍评分 (LODS),多器官功能障碍评分 (MODS) 和简化急性生理学评分-II (SAPS-II) 在这个特定队列中的适用性.
为了比较幸存者和非幸存者之间的这些分数.

主要方法:

进行了一项单中心,观察性,前性研究.
招募了202名危急疾病的老年败血症患者.
计算了SOFA,APACHE-II,LODS,MODS和SAPS-II分数,并对患者进行了28天住院死亡率的跟踪.

主要成果:

在202名患者 (平均年龄79岁) 中,总死亡率为41%.
所有评估的评分系统 (SOFA,APACHE-II,LODS,MODS,SAPS-II) 在非幸存者中显著更高 (p < 0.001).
接收器操作特征 (ROC) 分析显示,所有模型具有显著的区分能力,曲线下的面积 (AUC) 值在0.702到0.802.

结论:

SOFA,APACHE-II,LODS,MODS和SAPS-II得分与严重病重的老年败血症患者的28天死亡率有显著的相关性.
这些预后评分系统证明了成功的区分能力,并且可以可靠地用于该人口的死亡率预测.
这些工具的验证证实了它们在治疗老年败血症患者中的临床实用性.

关键词:

亚帕契亚 (APACHE) 是一个地区.年长的老年人年长的老年人重症监护病房是重症监护病房.器官功能障碍得分器官功能障碍得分这是一种血症.幸存率幸存率生存率

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