修改的国家早期预警评分2,一个可靠的早期预警系统,用于预测患有肺炎的患者的治疗结果
Sriram Krishnamoorthy1, Gayathri Thiruvengadam2, Hariharasudhan Sekar3
1Department of Urology and Renal Transplantation, Sri Ramachandra Institute of Higher Education and Research, Chennai 600116, Tamil Nādu, India. sriramuro@gmail.com.
World journal of nephrology
|June 26, 2025
概括
一个经过修改的国家早期预警分数2 (mNEWS 2) 有效地预测了缩性肺炎 (EPN) 的死亡率. 这一分数改善了风险分层,并指导了这种严重脏感染的治疗.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 肺炎 (Emphysematous pyelonephritis,简称EPN) 是一种严重的死性脏感染,死亡率高,常见于糖尿病患者.
- 早期诊断和风险分层对于管理EPN至关重要.
- 现有的评分系统,如国家预警分数2 (NEWS 2),需要修改以更好地预测EPN.
研究的目的:
- 评估修改后的NEWS 2 (mNEWS 2) 评分对EPN患者风险分层的有用性.
- 确定mNEWS 2是否可以改善治疗决策和患者的治疗结果.
主要方法:
- 在12年内对171名EPN患者进行了前性研究.
- 计算NEWS 2分数的加权风险分层指数和死亡风险.
- 修改了NEWS 2评分,将其分为三个风险组 (0-6,7-14,15-20).
主要成果:
- 该研究包括171名EPN患者,主要是糖尿病患者 (90.6%).
- 较高的mNEWS 2分数与死亡风险增加相关 (P < 0.01) 和需要干预.
- 一个NEWS 2截止值15显示高准确度 (96.5%) 在预测死亡率 (AUC0.98,P<0.001).
结论:
- 修改后的NEWS 2 (mNEWS 2) 评分显著提高了对EPN治疗结果的评估.
- 实施mNEWS 2作为标准实践可以减少与EPN相关的发病率和死亡率.
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