APACHE Ⅱ and CPIS scores in predicting prognosis in patients with ventilator-associated pneumonia

ZHOU Kang-shi

doi:10.13406/j.cnki.cyxb.2010.05.018

您当前的位置：

首页 >

文章列表页 >

APACHE Ⅱ and CPIS scores in predicting prognosis in patients with ventilator-associated pneumonia

更新时间：2024-01-17

- APACHE Ⅱ and CPIS scores in predicting prognosis in patients with ventilator-associated pneumonia
- Journal of Chongqing Medical University Vol. 35, Issue 5, Pages: 762-764(2010)
- 作者机构：
  
  湖南省怀化市医学高等专科学校附属怀化市第三人民医院呼吸科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2010.05.018
  CLC： R563.1
- Published：2010，
扫描看全文
[1]周康仕.APACHEⅡ与CPIS评分系统对呼吸机相关肺炎患者预后评估价值的比较[J].重庆医科大学学报,2010,35(05):762-764.

ZHOU Kang-shi. APACHE Ⅱ and CPIS scores in predicting prognosis in patients with ventilator-associated pneumonia. [J]. Journal of Chongqing Medical University 35(5):762-764(2010)
[1]周康仕.APACHEⅡ与CPIS评分系统对呼吸机相关肺炎患者预后评估价值的比较[J].重庆医科大学学报,2010,35(05):762-764. DOI： 10.13406/j.cnki.cyxb.2010.05.018.

ZHOU Kang-shi. APACHE Ⅱ and CPIS scores in predicting prognosis in patients with ventilator-associated pneumonia. [J]. Journal of Chongqing Medical University 35(5):762-764(2010) DOI： 10.13406/j.cnki.cyxb.2010.05.018.

摘要

目的:比较急性生理学及慢性健康状况评分Ⅱ（Acute physiology and chronic health evaluationⅡ

APACHEⅡ）APACHEⅡ与临床肺部感染评分（Clinical pulmonary infection score

CPIS）评分系统对呼吸机相关肺炎（Ventilator-associated pneumonia

VAP）患者预后评估的价值。方法:58例VAP患者在确诊当日分别行APACHEⅡ和CPIS评分

以住院内存活情况为预后的首要结局终点评价指标

采用Hosmer-Lemeshow拟合优度检验和ROC曲线来评价两种评分对预后判断的校准度和分辨度。结果:58例VAP患者住院期内死亡25例（43.1%）

死亡组的APACHEⅡ评分（t=3.797

P=0.0001）和CPIS评分（t=3.462

P=0.001）均高于存活组。生存的33例患者机械通气时间、住ICU时间和住院时间与APACHEⅡ评分与CPIS评分均呈正相关。Hosmer-Lemeshow拟合优度检验显示APACHEⅡ（χ2=1.546

P=0.845）和CPIS评分（χ2=1.341

P=0.911）对VAP生存预后结局的预测均有较好的校准度。ROC曲线分析显示ROC曲线结果显示APACHEⅡ评分和CPIS评分预测VAP生存的生存均有价值

但APACHEⅡ评分预测分辨度要优于CPIS评分。结论:APACHEⅡ与CPIS评分系统对呼吸机相关肺炎患者生存的预测都具有较好的校准度

但APACHEⅡ预测分辨度要优于CPIS评分。

Abstract

Objective:To assess the value of the APACHE Ⅱ and CPIS in the prediction of mortality during VAP episodes in pulmonary patients.Methods:APACHE Ⅱ and CPIS scores were recorded on the day of the diagnosis of VAP for 58 patients.The primary outcome endpoint was the ICU mortality.Hosmer-Lemeshow goodness of fit tests and ROC curves were used to estimate the predictive calibration and resolution of the scoring systems.Results:Mortality rate was 43.1%.The mean APACHE Ⅱ(t = 3.797

P = 0.000 1)and CPIS scores(t = 3.462

P = 0.001)determined at the time ofVAP diagnosis were significantly higher in nonsurvivors than in survivors.In 33 survival patients

the mechanical ventilation time

the ICU stay time and the hospitalization time was positively correlated with APACHE Ⅱ

so as to CPIS score.Calibration was excellent for APACHE Ⅱ(χ2 = 1.546

P = 0.845)and CPIS(χ2 =1.341

P = 0.911);Resolution was good for APACHE Ⅱ and acceptable for CPIS

but APACHE Ⅱ was even more better.Conclusion:These results suggest that APACHE Ⅱ and CPIS scoring system also have a good calibration for predicting mortality in patients with ventilator-associated pneumonia

but APACHE Ⅱ has a better resolution.

关键词

呼吸机相关肺炎预后APACHEⅡCPIS

Keywords

Ventilator-associated pneumoniaprognosisAPACHEⅡCPIS

references

Views

411

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Anterior and posterior circulation infarction image score（APCIIS），a novel approach to evaluate the prognosis of patients with acute ischemic stroke

Diagnostic and prognostic value of muscle echogenicity combined with plasma inflammatory factors for intensive care unit-acquired weakness

Comparison of efficacy and complications of endoscopic surgery through three different approaches in the treatment of thyroid microcarcinoma

Identification of shared genetic features and molecular mechanisms of metabolic syndrome and colorectal cancer based on transcriptomic data

Effect of GluA1 interacting proteins GNAI2 and SRSF10 on prognosis of Hepatocellular carcinoma and establishment of diagnostic model

Related Author

Peng Shixin

Qiu Yulong

Zhu Ji

Zhang Xiaodong

Jiang Li

Xu Rui

Chen Jing

Zhu Jie

Related Institution

Department of Neurosurgery，The First Affiliated Hospital of Chongqing Medical University

Department of Ultrasound，Chongging Emergency Medical Center

Department of Neurology ， Chongging Emergency Medical Center

Intensive Care Unit，Chongging Emergency Medical Center

Department of Respiratory Medicine，Chongging Emergency Medical Center

⁰