支气管扩张严重度指数和FACED评分对支气管扩张症预后评估的比较

Comparison between bronchiectasis severity index and FACED score for the prognostic assessment of bronchiectasis

目的：以支气管扩张严重度指数（bronchiectasis severity index,BSI）和 FACED评分两种方法,评估92例支气管扩张患者的临床资料,比较两种评分方法判断支气管扩张症预后情况。方法收集我院呼吸科住院的92例支气管扩张患者,随访1年,对比两种评分系统判断患者预后的敏感性、特异性。结果两种评分系统低危组、中危组患者病死率明显低于高危组,低危、中危和高危组病死率,BSI评分组为2.9%、12.5%和38.9%,FACED评分组为5.6%、10.3%和41.2%,差异有统计学意义。两种评分系统判断支气管扩张症预后的敏感性分别为92.9%和68.4%,特异性分别为89.7%和90.4%,阳性预测值分别为61.9%和65.0%,阴性预测值分别为98.6%和91.7%。结论 BSI和 FACED评分系统均能准确反映支气管扩张患者的病情严重程度和判断预后,BSI 评分敏感性高,阴性预测值高,评分系统相对复杂,适合病房应用。FACED 评分敏感性低,特异性高,阳性预测值高,评分相对简单,适合门诊使用。

Objective Bronchiectasis severity index （BSI） and FACED were used to evaluate the medical records of 92 patients with bronchiectasis at our hospital.The comparisons of BSI and FACED were made to assess bronchiectasis severity with respect to its prognosis.Methods Ninety-two cases with bronchiectasis were chosen.1 year was regarded as the observation terminal and the outcomes as the observation.BSI and FACED were evaluated at the sensitivity,specificity in assessment of condition and prognosis in bronchiectasis.Results The two score systems showed that the mortality of the low-risk or moderate-risk group was significantly lower than high-risk group：2.9% vs 12.5% vs 38.9% for BSI, 5.6% vs 10.3% vs 41.2% for FACED （all P 〈0.05）.The sensitivity were 92.9% and 68.4% in bronchieectasis using BSI and FACED,their specificity were 89.7% and 90.4%,respectively.Their positive predictive rates were 61.9% and 65.0%,respectively.Their negative predictive rates were 98.6%and 9 1 .7%,respectively.Conclusions The two score systems can accurately reflect the condition of severity and prognosis in bronchiectasis patients.The sensitivity and negative predictive rates of BSI score are higher and more complicated than FACED.BSI Score is suitable for use in ward.The sensitivity of FACED is lower than BSI,but the specificity and negative predictive rates are higher than BSI.FACED is suitable for use in outpatient department.