The apply of acute physiology and chronic health evaluation Ⅱ score in mild hypothermia cerebral resuscitation and regression model
10.3760/cma.j.issn.1673-4904.2014.21.018
- VernacularTitle:急性生理学与慢性健康状况Ⅱ评分在亚低温脑复苏患者中的运用及回归模型建立
- Author:
Jian ZHONG
;
Shaohong LI
;
Jingzhao HE
;
Huiju BU
;
Haiyang WEN
;
Faliang GUO
- Publication Type:Journal Article
- Keywords:
Acute physiology and chronic health evaluation Ⅱ;
Mild hypothermia cerebral resuscitation;
Prognosis
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(21):56-58
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the degree of hypothermia cerebral resuscitation patients by acute physiology and chronic health evaluation Ⅱ (APACHE Ⅱ) score and judge the prognosis,so as to prove the effectiveness of its application.Methods Data of 34 cases of patients with mild hypothermia cerebral resuscitation in ECIU or ICU were continuously observed,calculated the scores of APACHE Ⅱ and verify for establishing the regression model.Results The APACHE Ⅱ score was 20-47 (33.86 ± 5.12) scores.The APACHE Ⅱ score in 9 patients who were survived within 72 h was (27.83 ± 4.89) scores,and in 25 patients who were dead within 72 h was (35.56 ± 7.12) scores,there was significant difference (P < 0.01).Logistic regression analysis showed that APACHE Ⅱ score was the risk factor (P < 0.01).Conclusion APACHE Ⅱ score can be applied to evaluate the degree of mild hypothermia cerebral resuscitation and prognosis,it can guide the clinical decision making.