摘要
目的:探讨序贯器官衰竭估计(SOFA)评分与急诊严重感染性患者预后的关系。方法:应用欧洲重症监护医学协会(ESICM)感染相关问题工作组制订的SOFA评分体系,对126名急诊严重感染性患者,进行回顾性统计分析,测量T0SOFA和T72SOFA,计算△SOFA,比较入院时T0SOFA评分与病死率的关系、T72小时的△SOFA评分与病死率的关系,评价SOFA评分在预后估计中的作用。结果:T0SOFA评分、T72小时△SOFA评分与病死率有明显显著性关系(均P<O.01)。结论:T0SOFA评分和T72△SOFA评分对急诊严重感染性患者有良好的预后评价作用。
Objective:To investigate the sequential organ failure assessment(SOFA)score in predicting the outcome of patients with severe sepsis in emergency.Method:A retrospective analysis was made in 126 patients with severe sepsis in emergency.The SOFA scoring system that was developed by the Working Group on Sepsis-related Problems of the European Society of Intensive Care Medicine(ESICM)was applied.SOFA scores were calculated at ED recognition(T0) and 72 hours after admission(T72).△SOFA was calculated.The primary outcome was in-hospital mortality.The relationship between SOFA score,△SOFA score and mortality was compared.Result: The T0 SOFA,△SOFA were found to have a positive relationship with in-hospital mortality.Conclusion:The T0 SOFA score and T72 △SOFA scores can be used to predict outcome in patients with severe sepsis in emergency.
出处
《临床急诊杂志》
CAS
2013年第11期518-521,共4页
Journal of Clinical Emergency
基金
沈阳市科委科技进步基金(No:1091190-1-00)
关键词
严重感染
序贯性器官衰竭评分
病死率
severe sepsis
sequential organ failure assessment score
mortality