Comparison of four score modes in prognosis assessment of AECOPD patients with respiratory failure
10.3969/j.issn.1006-5725.2017.02.020
- VernacularTitle:4种评分对慢性阻塞性肺疾病急性加重合并呼吸衰竭患者预后评估价值的比较
- Author:
Qifang SHI
;
Ying SHENG
;
Shuyun WANG
- Keywords:
Chronic obstructive pulmonary disease;
Respiratory failure;
DECAF score;
Acute physiology and chronic health evaluation;
CAPS
- From:
The Journal of Practical Medicine
2017;33(2):242-245
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the predictive effect of modified DECAF,DECAF,CAPS and APACHEⅡin the assessment of prognosis of AECOPD patients with respiratory failure. Methods Clinical data of 186 AECOPD cases complicated with respiratory failure were analyzed and four score modes were used within 24 hours of admission. Clinical endpoints were patients′ survival status 28 days after admission. The discriminative power of the four score modes was evaluated by the area under the receiver operating characteristic curve (AUC). Results AUC of the modified DECAF(0.777,95%CI:0.710-0.835) and DECAF (0.766,95%CI:0.699-0.825) for prognosis was significantly greater than that of CAPS(0.699 ,95%:0.628-0.764) and APACHEⅡ(0.715,95%:0.645-0.779). Conclusion The modified DECAF and DECAF have predictive values on assessing the prognosis of AECOPD patients with respiratory failure ,which are simple and efficient.
