Comparison of effects of four predictive methods for pulmonary embolism in risk screening of high-risk population with pulmonary embolism in primary hospitals
10.3760/cma.j.cn115682-20191124-04280
- VernacularTitle:4种肺栓塞预测方法在基层医院肺栓塞高危人群风险筛查中的效果比较
- Author:
Lan WANG
1
;
Yingwei ZHU
;
Qiang DU
;
Panpan ZHAO
;
Xu CHU
Author Information
1. 河南科技大学第一附属医院呼吸与危重症医学科，洛阳 471003
- Keywords:
Pulmonary embolism;
Clinical score;
Primary hospital;
High risk population;
Screening
- From:
Chinese Journal of Modern Nursing
2020;26(21):2876-2880
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the screening effects of Wells score, modified Geneva score, ZS score and YEARS method in high-risk population with pulmonary embolism in primary hospitals.Methods:By the convenient sampling method, clinical data of 165 patients with suspected pulmonary embolism who were diagnosed and treatment in the First Affiliated Hospital of Henan University of Science and Technology from January 2017 to December 2018 were collected, and data were evaluated by Wells score, modified Geneva score, ZS score and YEARS method, respectively. The sensitivity, specificity and accuracy of different methods for diagnosis of pulmonary embolism were compared. ROC curve was drawn and area under the curve (AUC) was calculated.Results:CT pulmonary angiography (CTPA) test confirmed embolism in 49 cases, non-pulmonary embolism in 116 cases. The Wells score, modified Geneva score and ZS score of patients with pulmonary embolism were higher than those of non-pulmonary embolism ( t=32.614, 31.585, 28.648; P<0.01) . The AUC of ZS score for evaluating pulmonary embolism was (0.873±0.034) , which was greater than modified Geneva score, Wells score, and YEARS method. Conclusions:ZS score has better clinical value for predicting high-risk pulmonary embolism patients in primary hospitals, and it is generally better than modified Geneva score, Wells score and YEARS method.
