摘要
目的对新生儿危重病例评分(NCIS)和第三代小儿死亡危险(PRISMⅢ)评分评估新生儿死亡风险的预测价值进行分析,探讨PRISMⅢ评分在我国推广的可行性。方法前瞻性纳入2014年7月至2015年6月在我院新生儿重症监护室住院的所有新生儿,分别采用PRISMⅢ和NCIS评分评价新生儿疾病的危重程度。以新生儿是否死亡为结局,绘制两种方法的工作特征曲线,比较两曲线下面积(AUC)的差异。结果共纳入297例患儿,38例死亡。NCIS评分判断新生儿危重程度的AUC为0.923,PRISMⅢ评分为0.919,两种方法均较准确,且差异无统计学意义(P>0.05)。结论 PRISMⅢ评分在预测危重新生儿死亡风险方面与我国常用的NCIS评分准确性相近,为新生儿死亡风险评估提供了另一种选择,临床上可分别采用两种方法进行评估以达到相互佐证的目的。
Objective To compare the predictive value of mortality risk using neonatal critical illness score（ NCIS） and pediatric risk of mortality score（ PRISM Ⅲ） in critically ill neonates,and to explore the feasibility of PRISM Ⅲ in China. Methods From July 2014 to June 2015,neonates admitted to NICU of our hospital were prospectively enrolled. All neonates were evaluated using both PRISM Ⅲ and NCIS scores. ROC curves were drawn for both scoring systems and the specificity and sensitivity of the two systems in predicting the mortality risk in critically ill neonates were compared.Results A total of 297 patients were included,and 38 died. The ROC of NCIS is 0. 923 and PRISM Ⅲ is 0. 919. Both methods were accurate in assessing the mortality risk,and no statistically significant differences existed between the two scoring systems（ P〉0. 05）. Conclusions PRISM Ⅲ scoring system have similar accuracy in predicting mortality risk comparing with NCIS,which can be used as cross-reference.
出处
《中国新生儿科杂志》
CAS
2016年第3期189-192,共4页
Chinese Journal of Neonatology
