Prognostic value of APACHE Ⅱ and CAPS score in patients with AECOPD combined with respiratory failure
10.3760/cma.j.issn.1008-6706.2019.17.008
- VernacularTitle: 急性生理与慢性健康状况评分及慢性阻塞性肺疾病和支气管哮喘生理评分在慢性阻塞性肺疾病急性加重期合并Ⅱ型呼吸衰竭患者预后评估中的应用价值
- Author:
Ruilai JIANG
1
Author Information
1. Department of Respiration and Critical Care Medicine, the Second People's Hospital of Lishui, Lishui, Zhejiang 323000, China
- Publication Type:Journal Article
- Keywords:
Pulmonary disease, chronic obstructive;
Respiratory insufficiency;
APACHE;
Prognosis;
Risk assessment
- From:
Chinese Journal of Primary Medicine and Pharmacy
2019;26(17):2079-2082
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the prognostic value of acute physiology and chronic health status score (APACHE Ⅱ) and chronic obstructive pulmonary disease (COPD) and bronchial asthma physiology score (CAPS) in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) complicated with respiratory failure.
Methods:From February 2016 to January 2018, 139 patients with AECOPD complicated with type II respiratory failure in the Second People's Hospital of Lishui were selected.APACHE Ⅱ and CAPS were scored on the day of admission.The patients were divided into survival group (97 cases) and death group (42 cases) according to their clinical prognosis.
Results:The APACHE Ⅱ score and CAPS score of the death group were significantly higher than those of the survival group at admission [(20.15±3.27)points vs. (23.84±2.18)points, (30.85±3.44)points vs. (34.46±5.72)points, t=5.601, 4.596, all P<0.05]. The higher the score of APACHE Ⅱ and CAPS, the higher the fatality rate of patients(69.77% vs. 12.50%, 58.33% vs. 15.38%)(χ2=46.190, 27.490, all P<0.05). The AUC of APACHE Ⅱ score predicted death in patients with AECOPD and respiratory failure was 0.916 with high accuracy.The AUC of CAPS score predicted the death rate of patients with AECOPD combined with respiratory failure was 0.846, and the prediction had certain accuracy.
Conclusion:APACHE Ⅱ score and CAPS score have good clinical application value in evaluation of prognosis of patients with AECOPD complicated with respiratory failure.APACHE Ⅱ score is more effective in predicting the death of patients.The combination of APACHE Ⅱ score and CAPS score can be considered in clinical application, which can help doctors to draw up the best treatment plan and improve the clinical prognosis of patients.
