雷姆斯和酒店评分系统对老年肺栓塞患者死亡率的预测能力
Abuzer Özkan1, Serdar Özdemir2
1Department of Emergency Medicine, University of Health Sciences Bağcılar Training and Research Hospital, Istanbul, Turkey.
概括
酒店和REMS得分有效预测肺栓塞 (PE) 的老年患者的短期死亡率和重症监护需求,类似于PESI得分,但参数较少.
科学领域:
- 老年医学 老年医学
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
背景情况:
- 肺栓塞 (PE) 是老年人死亡和发病的重要原因.
- 准确的预后评估对于管理老年PE患者至关重要.
研究的目的:
- 为了比较肺栓塞严重性指数 (PESI),快速急救医学得分 (REMS) 和老年PE患者的预后和重症监护室 (ICU) 入院的HOTEL得分的预测能力.
主要方法:
- 对132名被诊断患有PE的老年患者进行了回顾性分析.
- 评估PESI,REMS和HOTEL的分数,以预测短期死亡率和ICU需求.
- 使用曲线下面面积 (AUC) 分析进行预测性表现的比较.
主要成果:
- 所有三个分数 (酒店,REMS,PESI) 显示了幸存者和非幸存者群体之间的显著差异.
- 预测死亡率的AUC值是可以比较的:HOTEL (0.72),REMS (0.65) 和PESI (0.71).
- 预测ICU需求的AUC值也是相似的:HOTEL (0.76),REMS (0.75) 和PESI (0.76). 这两种值是相同的.
结论:
- 在预测老年PE患者的短期死亡率和ICU入院方面,HOTEL和REMS得分与PESI得分一样有效.
- 与 PESI 相比,HOTEL 和 REMS 提供了更实用的替代方案,因为它们的参数要求比 PESI.更简单.
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