Prognostic value of APACHE Ⅱ score in patients with severe acute organophosphorus poisoning
10.3969/j.issn.1671-8348.2014.24.019
- VernacularTitle:APACHEⅡ评分对急性重症有机磷中毒患者预后判断的价值
- Author:
Jiyuan ZHANG
;
Jinhua GU
;
Shijuan HE
;
Guoping LIU
;
Yunzhang WANG
;
Hui XU
- Publication Type:Journal Article
- Keywords:
severe acute organophosphorus poisoning;
APACHE Ⅱ score;
clinical prognosis
- From:
Chongqing Medicine
2014;(24):3174-3175
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the prognostic value of APACHE Ⅱscore in patients with Severe acute organophosphorus poi-soning .Methods 42 patients with Severe acute organophosphorus poisoning ,in which 34 cases survived ,8 cases dead ,were select-ed .The APACHE Ⅱscores of patients in first 24 h of admission were collected ,and receiver operating characteristic curves (ROC curve) were drawn .Results APACHE Ⅱ score of the 42 patients with Severe acute organophosphorus poisoning was 18 ~30 (20 .11 ± 6 .32) ,in which the survival group was(16 .10 ± 3 .12) ,the dead group was(28 .01 ± 4 .46) (P<0 .01) .With the increase of APACHE Ⅱ score ,the fatality rate gradually increased .The total area under the ROC curves of APACHE Ⅱ score for death judgment was 0 .922 ,APACHE Ⅱ score of 21 .2 was the best diagnostic point ,the sensitivity was 95% ,and specificity was 89% . Conclusion The APACHE Ⅱscore could predict severity of patients with Severe acute organophosphorus poisoning ,and APACHEⅡscore ≥21 .2 could be used as the prognosis for death of the patients .
