摘要
目的:比较高海拔地区3个诊断评分标准对多器官功能障碍综合征(MODS)结局预测的准确性.方法:分别用平原地区评分诊断标准(庐山会议评分分级标准和Marshall评分系统)以及高原MODS评分系统(兰州标准),对海拔1600~3200m的4JD例MODS的相关参数值绘制受试者工作特征曲线(ROC曲线),验证3个标准在不同海拔高度预测ARDS/MODS结局的准确性.结果:兰州标准检验高海拔MODS总分的ROC曲线下面积、预测结局的灵敏度、特异度,明显优于庐山和Marshall评分系统.结论:兰州标准适合于对高海拔地区MODS的病情评估.
AIM: To compare the accuracy of the 3 diagnosis scoring criteria for multiple organ dysfunction syndromes (MODS) in predicting the outcome of the syndrome. METHODS: By using the Lushan scoring system, Marshall scoring criterion (1995), and Lanzhou scoring criterion, three data models of 40 cases of MODS on highland (altitude 1600 -3200 m) were set up to draw the receiver operating characteristic (ROC) curves, and the accuracy of the 3 diagnosis criteria was evaluated in predicting the outcome of MODS. RESULTS: The Lanzhou criterion was significantly superior to the other two criteria in the area under ROC, the sensitivity and the specificity. CONCLUSION: Lanzhou scoring system is fit for assessing the severity of MODS on highland.
出处
《第四军医大学学报》
北大核心
2007年第23期2197-2199,共3页
Journal of the Fourth Military Medical University
关键词
多器官功能障碍综合征
诊断标准
高海拔
multiple organ dysfunction syndrome
diagnostic scoring criteria
high altitude