A prospective validation of NEWS, CREWS and BAP-65 among patients with AECOPD
10.3761/j.issn.0254-1769.2017.03.028
- VernacularTitle:慢性阻塞性肺疾病急性加重期患者病情评分工具的比较研究
- Author:
Wenting HUANG
;
Miaoling CUI
;
Yun JIANG
;
Lan KE
;
Xiaoying LIU
;
Wangyang LU
- Keywords:
Pulmonary Disease,Chronic Obstructive;
National Early Warning Scoring;
Chronic Respiratory Early Warning Score;
BAP-65;
Prognosis
- From:
Chinese Journal of Nursing
2017;52(3):381-384
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the efficiency of National Early Warning Score (NEWS),Chronic Respiratory Early Warning Score(CREWS) and BAP-65(elevated Blood urea nitrogen,Altered mental status,Pulse＞109bpm,age＞65 years)among patients with AECOPD (acute exacerbations of chronic obstructive pulmonary disease).Methods Totally 181 patients with AECOPD were investigated by these three scales,and the efficiency of NEWS,CREWS and BAP-65 was compared.Results The scores of NEWS,CREWS and BAP-65 in the death group were higher than those in the survival group and the general ward group(P＜0.01).Regarding the predicted results of hospital death,the area under the ROC curve of NEWS,CREWS and BAP-65 was 0.878,0.836 and 0.774,respectively,and the differences were not statistically significant(P＞0.05);for predicted results of ICU admission,the area under the ROC curve of NEWS,CREWS and BAP-65 was 0.826,0.813 and 0.716,respectively,and the differences were not statistically significant (P＞0.05).Conclusion NEWS,CREWS and BAP-65 have satisfied predictive efficiency for prognosis,and NEWS and CREWS are much easier and faster to use.
