Predictive value of APACHE Ⅱ combined with TIMI risk score for prognosis of acute coronary syndrome
10.3760/cma.j.issn.1674-2907.2015.26.008
- VernacularTitle:急性生理与慢性健康评分结合TIMI危险评分对急性冠脉综合征患者预后的预测价值
- Author:
Jianhong? XI
1
;
Chunmei LIN
;
Zhenghui DONG
Author Information
1. 830000 乌鲁木齐，新疆医科大学第一附属医院呼吸重症医学科，全科医学科，护理部
- Keywords:
Acute coronary syndrome;
Acute physiology and chronic health score;
TIMI risk score
- From:
Chinese Journal of Modern Nursing
2015;(26):3129-3131,3132
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the predictive value of acute physiology and chronic health score ( APCHE Ⅱ) scoring system on the patients with acute coronary syndrome ( ACS) , and to demonstrate whether the predictive value combined with TIMI risk score impact on prognosis. Methods We calculated APACHEⅡ, TIMI risk score and total score of these two for 198 patients with acute coronary syndrome ( ACS) in CCU, and compared the discriminative power of the three scores by the area under the receiver operating characteristic curve ( AUROCC ) . Results The APACHEⅡscores of survival group ( 9. 42 ± 3. 38 ) and death group (14. 77 ± 3. 27) were statistically significant (t= -8. 018,P<0. 01). The survival groups of TIMI risk score was (3.48±0.96), while the score of death group (5.57 ±0.68), (t = -11.383,P<0.01). For ST segment elevation myocardial infarction group, the score of APACHEⅡwas ( 10. 33 ± 3. 86 ) and predicted mortality 11. 61% (13/112) and actually mortality 18. 75% (21/112) (χ2 =15. 998,P <0. 01); in non-ST segment elevation myocardial infarction group, the score of APACHEⅡwas ( 10. 10 ± 4. 14 ) and predicted mortality 11. 63% (10/86) and actually mortality 10. 47% (9/86) (χ2 =79. 330,P>0. 05);for the total ACS, the score of APACHEⅡwas (10. 23 ± 3. 86) and predicted mortality 11. 62% (23/198) and actually mortality 15. 15%(30/198) (χ2 =29. 892,P<0. 01). The ROC curve area of 3 score methods had been compared and found out TIMI had the biggest ROC curve area and the best predicted livability and mortality. Conclusions APACHEⅡscore can not predict mortality satisfactorily in patients with ACS well, and the method of APACHEⅡcombined with TIMI risk score is not better than TIMI risk score showed in the study. The TIMI risk score is a quick, convenient and effective method to evaluate patients with ACS.
