SCS评分在急诊老年危重患者中的应用价值

The applicable value of SCS for elderly critically ill patients in the emergency department

目的研究简单临床评分（SimpleClinicalScore，SOS）和对急诊老年危重患者预后的评估价值。方法收集华北石油总医院急诊科抢救室老年危重患者257例，入院后分别给予SCS评分和急性生理和慢性健康状况评估（APACHEⅡ）评分，分别比较SCS评分≤5、6～11、≥12分数段病死率和APACHEⅡ评分的差异，研究SCS评分与APACHEⅡ评分的相关性；比较死亡组和存活组SCS评分与APACHEⅡ评分的差别。结果随着SCS分值升高，病死率和APACHEⅡ评分增加（P〈0．01），SCS评分与APACHEⅡ评分呈正相关（r=-0．623，P=-0．015）；死亡组SCS评分和APACHEⅡ评分均大于存活组（P〈0．01）。结论SCS评分作为一种简单快捷的评分系统，与APACHEⅡ评分一样，对急诊老年危重患者的预后具有重要的评估价值。

Objective To study the prognostic value of simple clinical score （SCS） for elderly critically ill patients. Methods A total of 257 cases of elderly critically ill patients were collected in the emergency resuscitation room of General Hospital of North China Petroleum Hospital for the study, including 48 death cases and 209 survival cases. After the admission, their SCS scores and acute physiology and chronic health （APACHEⅡ score） . The differences of mortality and APACHE Ⅱ score were compared in SCS score ≤5, 6- 11,≥12 scores sections, respectively; The correlation analysis of the SCS and APACHEⅡ score was given, and the difference of SCS and APACHE II score were compared between death group and survival group. Results With SCS increasing, the mortality and APACHEⅡ score rose （P 〈0.01）. The SCS and APACHEⅡ score were correlated （r=-0.623, P =0.015）. The SCS and APACHE Ⅱ score in death group were greater than that in survival group （P 〈0.01）. Conclusion Like APACHE II, SCS score is considered as a simple scoring system, carrying an important value in assessing the prognosis for those elderly critically ill patients.