PURPOSE: In recent years, a variety of acute respiratory distress syndrome (ARDS) evaluation systems have been developed worldwide; however, they are not so convenient for the doctors clinically, we decided to establish and evaluate a simplified evaluation system of ARDS (SESARDS). MATERIALS AND METHODS: Data from 140 ARDS patients (derivation data set) were collected to screen for prognostic factors affecting outcomes in ARDS patients. By logistic regression analysis, scores were allocated to corresponding intervals of the variables, respectively, by means of analysis of the frequency distribution to establish a preliminary scoring system. Based on this primary scoring system, a definitive evaluation scheme was created through consultation with a panel of experts. The scores for the validation data set (92 cases) were assigned and calculated by their predictive mortality with the SESARDS and acute physiology and chronic health evaluation II (APACHE II). The performance of SESARDS was compared with that of APACHE II by means of statistical analysis. RESULTS: The factors of age, pH, Glasgow coma scale (GCS), oxygenation index (OI), and the lobes of lung were associated with prognosis of ARDS respectively. The sensitivity and specificity of SESARDS for the validation data set were 96.43% and 58.33%, respectively. On the AUC, no significant difference between APACHE II and SESARDS was detected. There were no significant differences between the prediction and the actuality obtained by SESARDS for the validation data set the SESARDS scores were positively correlated with the actual mortality. CONCLUSION: SESARDS was shown to be simple, accurate and effective in predicting ARDS progression.
APACHE ; Adult ; Age Factors ; Aged ; Female ; Glasgow Coma Scale ; Humans ; Logistic Models ; Male ; Middle Aged ; Probability ; Reproducibility of Results ; Republic of Korea/epidemiology ; Respiratory Distress Syndrome, Adult/diagnosis/*etiology/*mortality

Objective To investigate the influence of social support , coping style and self efficacy on stigma of patients with mental disorders .Methods Using the Link stigma series scale , the social support rating scale, the General self-efficacy scale and the Simplified coping style questionnaire ,we assessed and analyzed 406 psychiatric patients’ social support, general self-efficacy, coping style and its influence on the stigma . Results The total score of stigma of the 406 patients was (2.33 ±0.19) which was significantly lower than the rating scale point (t=-17.857,P<0.01).The total scores of social support , utilization of social support and general self-efficacy were (32.13 ±7.03), (25.75 ±7.31) and (1.59 ±0.66), which were also significantly different than the national norm (t=42.505, 0.000, -4.866, respectively;P<0.01).Correlation analysis results showed that stigma had significant negative correlation with total score of social support , utilization of social support and general self-efficacy (P<0.05);stigma had positive correlation with negative coping style (P<0.01).Multiple linear stepwise regression showed that negative coping style was the significant influence factor to the stigma (P <0.01).The more negative coping style adopted by the patients , the more serious stigma the patient would perceive .Conclusions It will be helpful to reduce psychiatric patients ’ stigma by improving social support , general self-efficacy and adapting less negative coping style .