摘要
目的比较研究快速序贯器官衰竭（qSOFA）评分和快速急诊内科（REMS）评分在预测急诊危重患者预后中的应用价值。方法分别对急诊抢救室1647例患者进行qSOFA评分和REMS评分，以患者第7天是否死亡为终点，比较两种评分对急诊危重患者死亡风险评估的预测效力。结果qSOFA评分和REMS评分值越高，死亡率越高。qSOFA评分和REMS评分的预测死亡风险的ROC曲线下面积分别为0．739和0．700，与AUC=0．5比较差异有统计学意义。结论qSOFA评分不只应用于感染患者，对所有急诊危重患者均能有效判断病情危重程度并预测死亡风险，只需三个参数，更适合急诊的初始评估，不仅未降低预测效能，还显著减少了评估负担。
Objective To compare the application value of rapid sequential organ failure score （qSOFA） and rapid emergency medical score （REMS） in predicting the prognosis of severe patients in emergency department. Methods The qSOFA score and REMS score were recorded in 1647 patients after they admitted to the emergency resuscitation department, the differences of both scores between survival group and death group were analyzed, and area under ROC curve was used to evaluate the accuracy of both scores in predicting the patients outcomes. Results With the scores increased, the mortality rate increased. The area under the ROC curve of qSOFA score and REMS score were O. 739 and 0.7, respectively, which were significantly different from AUC = 0. 5. Conclusion The qSOFA score is not only applicable to the infected patients. It can predict the risk of death for all emergency critical patients, qSOFA score just needs three parameters, which is more suitable for the initial assessment in emergency, rather than other complex scores.
出处
《中国急救医学》
CAS
CSCD
北大核心
2017年第7期617-620,共4页
Chinese Journal of Critical Care Medicine
