摘要
目的比较英国国家早期预警评分(National Early Warning Score,NEWS)、慢性呼吸系统早期预警评分(Chronic Respiratory Early Warning Score,CREWS)、BAP-65评分预测COPD急性加重期患者预后的效能。方法将NEWS、CREWS和BAP-65评分应用于181例COPD急性加重期患者,并评价其预测预后效能。结果 NEWS、CREWS和BAP-65评分死亡组、入住ICU组分值均分别高于存活组、普通病房组(P<0.01)。NEWS、CREWS和BAP-65评分预测院内死亡的ROC曲线下面积分别为0.878、0.836和0.774,两两比较,差异无统计学意义(P>0.05);预测入住ICU的ROC曲线下面积分别为0.826、0.813和0.716,两两比较,差异无统计学意义(P>0.05)。结论 NEWS、CREWS和BAP-65评分对COPD急性加重期患者均具有较好的预后预测效能,其中NEWS、CREWS更方便快捷。
Objective To compare the efficiency of National Early Warning Score （NEWS）,Chronic Respiratory Early Warning Score（CREWS） and BAP-65（elevated Blood urea nitrogen,Altered mental status,Pulse〉109bpm,age〉 65 years）among patients with AECOPD （acute exacerbations of chronic obstructive pulmonary disease）. Methods Totally 181 patients with AECOPD were investigated by these three scales,and the efficiency of NEWS,CREWS and BAP-65 was compared. Results The scores of NEWS,CREWS and BAP-65 in the death group were higher than those in the survival group and the general ward group（P〈0.01）. Regarding the predicted results of hospital death,the area under the ROC curve of NEWS,CREWS and BAP-65 was 0.878,0.836 and 0.774, respectively ,and the differences were not statistically significant（P〉0.05 ）; for predicted results of ICU admission,the area under the ROC curve of NEWS,CREWS and BAP-65 was 0.826,0.813 and 0.716,respectively, and the differences were not statistically significant （P〉0.05）. Conclusion NEWS,CREWS and BAP-65 have satisfied predictive efficiency for prognosis,and NEWS and CREWS are much easier and faster to use.
出处
《中华护理杂志》
CSCD
北大核心
2017年第3期381-384,共4页
Chinese Journal of Nursing
基金
2016年广西医疗卫生适宜技术开发与推广应用课题(S201665)
广西急诊与医学救援人才小高地开放课题(GXJZ-201427)
2015年度广西医药卫生计划课题项目(Z2015513)
