APACHE Ⅱ与GCS评分预测神经重症监护患者病死率的价值

被引：32

作者：

陈鑫

严晓铭

柯开富

机构：

[1] 南通大学附属医院神经内科

来源：

江苏医药 | 2014年 / 40卷 / 04期

关键词：

APACHE Ⅱ评分; 格拉斯哥昏迷评分; 神经重症监护室;

D O I：

10.19460/j.cnki.0253-3685.2014.04.025

中图分类号：

R459.7 [急症、急救处理];

学科分类号：

100218 ;

摘要：

目的比较急性生理学和慢性健康状况评估Ⅱ(APACHEⅡ)和格拉斯哥昏迷评分(GCS)对神经重症监护室(NICU)患者病死率的预测价值。方法回顾性分析568例NICU患者的临床资料。根据预后分为生存组(421例)和死亡组(147例),比较两组患者的APACHEⅡ和GCS评分。采用受试者工作特征曲线(ROC曲线)评价APACHEⅡ和GCS评分对NICU患者病病死率的预测价值。经多因素Logistic回归分析影响病死率的独立因素。结果死亡组APACHEⅡ评分高于生存组[(21.01±5.59)分vs.(14.12±4.26)分](P<0.05);GCS评分低于生存组[(8.29±2.72)分vs.(10.32±2.08)分](P<0.05)。APACHEⅡ和GCS评分预测病死率的ROC曲线下面积分别为0.836和0.720(Z=3.921,P<0.01)。APACHE II和GCS评分均为NICU患者病死率的独立预测因素。结论 APACHEⅡ和GCS评分均能有效预测NICU患者的病死率,APACHEⅡ的预测价值优于GCS。

引用

页码：444 / 446

页数：3

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