Predictive value of IPS score in early prediction of urosepsis after flexible ureteroscope
10.3760/cma.j.issn.1674-2907.2017.01.021
- VernacularTitle:感染可能性评分对输尿管软镜术后尿脓毒症的早期预测价值
- Author:
Qing ZHOU
1
;
Bo XIE
;
Rongjiang WANG
;
Yili YUAN
Author Information
1. 313000湖州市中心医院重症监护室
- Keywords:
Sepsis;
Ureteroscope;
Urologic surgical procedures,male;
Infection probability score;
Predictive value
- From:
Chinese Journal of Modern Nursing
2017;23(1):83-86
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the screening value of infection probability score(IPS) in early prediction of urosepsis after flexible ureteroscope.Methods Totally 304 patients with upper urinary calculi after flexible ureteroscope from June 2013 to August 2015 were selected as the research object by purposive sampling method. The participants were divided into the infected group and the non-infected group based on systemic inflammatory response syndrome(SIRS) diagnostic criteria. The diagnostic test and ROC curve analysis were used to evaluate the diagnostic value and identify an appropriate cut-off score.Results The area under curve (AUC) of IPS was 0.812 (P<0.01) and the cut-off score was 14. The IPS retest Cronbach′s α was 0.754 and it had good construct validity. The sensitivity,specificity and Youden index of IPS ≥14 were 76.0%,85.0%,and 0.61,which indicated good consistency with SIRS diagnosis.Conclusions IPS has a high screening value in early prediction of urosepsis after flexible ureteroscope,and it can be applied to clinical practice.
