Value of CPIS score and ASS score in severe craniocerebral injury secondary infection
|更新时间:2025-01-15
|
Value of CPIS score and ASS score in severe craniocerebral injury secondary infection
Journal of Army Medical UniversityVol. 35, Issue 6, Pages: 540-542(2013)
作者机构:
1. 重庆市急救医疗中心神经外科
2. 重庆医科大学附属第一医院神经外科
作者简介:
基金信息:
DOI:
CLC:R630.6;R651.15;R44
Published:2013,
Published Online:30 March 2013,
稿件说明:
移动端阅览
XU YI, SUN XIAOCHUAN, LIU KE, et al. Value of CPIS score and ASS score in severe craniocerebral injury secondary infection. [J]. Journal of army medical university, 2013, 35(6): 540-542.
DOI:
XU YI, SUN XIAOCHUAN, LIU KE, et al. Value of CPIS score and ASS score in severe craniocerebral injury secondary infection. [J]. Journal of army medical university, 2013, 35(6): 540-542.DOI:
Value of CPIS score and ASS score in severe craniocerebral injury secondary infection
Objective To investigate the value of clinical pulmonary infection score (CPIS score) and the adjusted score of systemic inflammatory response syndrome (ASS score) in severe craniocerebral injury secondary infection. Methods A total of 103 patients with severely craniocerebral injury who were admitted in our department from January 2009 to January 20
11 were recruited in this study. CPIS score and ASS score were used to evaluate the patients. The indexes of endpoints for prognosis were ICU stay time
hospitalization time and infection control time. Hospital mortality was the primary outcome endpoint. Receiver operating characteristic curve(ROC) was plotted to determine the predictive value of the 2 scale system. Results The dead group had higher CPIS score (
Z
=3.444
P
<
0.01) and ASS score (
t
=6.26
P
<
0.01) than the survivors. The ASS score of the survivors was positively correlated with the ICU stay time
hospitalization time and the infection control time (
r
=0.695
P
<
0.01;
r
=0.725
P
<
0.01;
r
=0.707
P
<
0.01). The area under curve (AUC) was 0.835 for CPIS score
and 0.836 for ASS score
indicating that both of the scores had a good calibration to predict mortality in the patients. Conclusion Both CPIS score and ASS score have a good calibration for predicting mortality in patients of severe craniocerebral injury secondary infection. The scores can quantitatively evaluate these patients
and are of great value to carry out scientific and accurate treatment.
关键词
重型颅脑损伤院内感染CPIS评分ASS评分预后
Keywords
severe craniocerebral injurysecondary infectionclinical pulmonary infection scoresystemic inflammatory response syndromeprognosis