The diagnosis and prognosis value of clinical pneumonic infection score in patients with strokeassociated pneumonia
10.3760/cma.j.issn.1673-4904.2012.28.003
- VernacularTitle:临床肺部感染评分对卒中相关性肺炎的诊断及预后评价的价值
- Author:
Xiaoyan TIAN
;
Yuhong YIN
;
Qianli ZHAN
;
Xiaoli FU
;
Lixian WANG
;
Yingbo YANG
- Publication Type:Journal Article
- Keywords:
Diagnosis;
Prognosis;
Clinical lung infection score;
Stroke-associated pneumonia
- From:
Chinese Journal of Postgraduates of Medicine
2012;35(28):6-8
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the diagnosis and prognosis value of clinical pneumonic infection score (CPIS) in patients with stroke-associated pneumonia (SAP).MethodsOne hundred and fifty stroke patients were evaluated and analyzed by CPIS.SAP was regarded as gold standard,and sensitivity,specificity,diagnose accordance rate,positive predictive value and negative predictive value were calculated.Results Thirty-nine patients had SAP and 111 patients did not have SAP by CPIS,and the incidence of SAP was 22.0％ (33/150).CPIS diagnostic sensitivity was 84.8％ (28/33),specificity was 90.6％ ( 106/117 ),positive predictive value was 71.8％ (28/39),negative predictive value was 95.5％ (106/111),and diagnose accordance rate was 89.3％(134/150).The patients of SAP were divided into good prognosis (28 cases) and bad prognosis (5 cases),and the CPIS was significantly lower in patients of good prognosis 7 days after SAP than that in patients of bad prognosis[(4.21 ± 2.23) scores vs. (6.05 ±2.32) scores,P ＜0.05].ConclusionsNot only CPIS has higher diagnosis rate in SAP incidence,but also has good judgment to prognosis.It is worthy of clinical application.
