Research of prognosis assessment by four kinds of scoring systems in the patients of ventilator-associated pneumonia
10.3760/cma.j.issn.1673-4904.2010.31.002
- VernacularTitle:四种评分系统对呼吸机相关性肺炎的预后评估研究
- Author:
Binlin YAN
;
Lunxiong XIE
;
Niangui ZHAO
;
Huiling YE
;
Qingzhou FENG
;
Juan DU
- Publication Type:Journal Article
- Keywords:
Pneumonia,ventilator-associated;
APACHE;
Sequential organ failure assessment;
Multiple organ dysfunction syndrome score;
Clinical pulmonary infection score
- From:
Chinese Journal of Postgraduates of Medicine
2010;33(31):4-7
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the significance of the prognosis assessment by acute physiology and chronic health evaluation (APACHE Ⅱ ),sequential organ failure assessment (SOFA) score,clinical pulmonary infection score(CPIS) and multiple organ dysfunction syndrome (MODS) score in the patients of ventilator-associated pneumonia (VAP). Methods The clinical data of 68 cases with VAP in the ICU or RICU were studied. APACHE Ⅱ , SOFA and MODS scores on admission and APACHE Ⅱ , SOFA, CPIS and MODS scores on the first 24-hour of VAP diagnosis were recorded. The area under the receiver operating characteristic curve(AUROC ) and Logistic regression were used to estimate the prognostic ability by the four kinds of scoring systems. Results The APACHE Ⅱ , CPIS, MODS and SOFA scores on the first 24-hour of VAP diagnosis were significantly higher in non-survivors than those in survivors. AUROC of APACHE Ⅱ ,SOFA,MODS and CPIS respectively were 0.80,0.75,0.73,0.71. Logistic regression analysis showed that only APACHE Ⅱ＞ 18 scores on the first 24-hour of VAP diagnosis was an independent predictor of the mortality (OR: 5.7,95% CI: 1.9 - 20.0, P = 0.013). Conclusion The APACHE Ⅱ on the first 24-hour of VAP diagnosis may be a useful index in predicting progress of patients with VAP.
