摘要
目的 :评价急性生理学与慢性健康状况 (APACHE )评分引入多器官功能障碍综合征 (MODS)评分对 ICU患者病情评估的价值。方法 :对 70例 ICU患者在入住 ICU 2 4 h内分别进行 APACHE 评分和 MODS评分 ,以 ROC曲线下面积大小衡量各评分系统预测患者预后的能力 ,比较 APACHE 评分、MODS评分以及APACHE 与 MODS评分之和的 ROC曲线下面积。建立以患者预后为因变量 ,APACHE 评分、MODS评分以及 APACHE 与 MODS评分之和为自变量的判别方程 ,比较它们对患者预后判别的贡献率 (判别系数 )。结果 :APACHE 评分、MODS评分以及 APACHE 与 MODS评分之和的 ROC曲线下面积分别为 0 .76 5、0 .6 4 3和 0 .75 3;在判别方程中 ,它们的贡献率 (判别系数 )分别为 0 .998、0 .892和 0 .5 6 8。结论 :APACHE 对ICU患者预后的预测效果优于 MODS评分 ,APACHE 引入 MODS评分后并不能提高其预测效果。
Objective:To evaluate the value of acute physiology and chronic health evaluation(APACHE)Ⅲ and multiple organ dysfunction syndrome(MODS) score introduced to evaluate the severity of intensive care unit(ICU) patient.Methods:Seventy of ICU patients were scored by APACHE Ⅲ and MODS scoring system respectively after admission for 24 hours.Area under of the receiver operating characteristic curve(ROC) was used to scale the ability of APACHE Ⅲ and MODS scoring systems evaluating severity and predicting outcomes of ICU patient.The areas were compared among APACHE Ⅲ,MODS and the score of APACHE Ⅲ adding MODS.Discriminant was built between the scores and outcomes of patient,and coefficients were compared among the three scoring systems.Results:The areas under of the ROC of APACHE Ⅲ,MODS and the score of APACHE Ⅲ adding MODS were 0.765,0.643 and 0.753 respectively;coefficients of discriminant of them were 0.998,0.892 and 0.568 respectively.Conclusion:APACHEⅢ is superior to MODS scoring system in evaluating severity of ICU patient,and APACHEⅢ add MODS score can't increase the evaluating effectiveness compared to APACHEⅢ and MODS score respectively in evaluating severity of ICU patient.
出处
《中国危重病急救医学》
CAS
CSCD
2003年第4期217-219,共3页
Chinese Critical Care Medicine
基金
广东省深圳市科技立项项目 (2 0 0 2 0 40 5 7)
