DAGMAR评分法在胸痛患者急性肺栓塞院内急诊预检分诊中的价值

Value of DAGMAR Score in Acute Pulmonary Embolism Patients with Chest Pain when Doing Triage

目的评估胸痛患者急性肺栓塞(APE)在急诊预检分诊筛查中的重要性。方法纳入四川大学华西医院急诊科预检分诊胸痛中心数据库2018年10-12月就诊的胸痛患者222例,同时收集D-二聚体检测导向的调准风险(DAGMAR)评分和Wells评分,分别绘制受试者工作特征曲线(ROC)后,计算曲线下面积(AUC),并进行比较。结果以计算机断层扫描肺动脉造影(CTPA)确诊APE为标准,DAGMAR评分法和Wells评分法的AUC分别为0.799、0.663,二者比较差异有统计学意义(P<0.05)。结论DAGMAR评分法可用于胸痛患者的APE筛查,优于Wells评分法。

Objective To evaluate the importance of triage screening for acute pulmonary embolism(APE)in patients with chest pain in the emergency department.Methods A total of 222 patients with chest pain admitted to the emergency department of West China Hospital of Sichuan University form October to December 2018 were selected from the chest pain center database.D-dimer assay-guided moderation of adjusted risk(DAGMAR)score and Wells score were collected respectively.Receiver operating characteristic curve(ROC)was drawn and the area under the curve(AUC)was calculated for comparison.Results Taking computed tomography pulmonary arteriography(CTPA)as the standard for the diagnonsis of APE,the AUCs of the ROC curves of DAGMAR score and Wells score were 0.799 and 0.663,respectively.The difference between the two was statistically significant(P<0.05).Conclusion Both DAGMAR score and Wells score can be used for screening APE in patients with chest pain.And DAGMAR score is better than Wells score.