摘要
目的:比较Pauda、Caprini、Autar 3种血栓风险评估量表对肾病综合征患者发生静脉血栓栓塞症的风险预测效能,为临床提供参考。方法:便利选取2018年1月至2023年3月于北京市某三级甲等医院肾内科就诊的287例肾病综合征住院患者为研究对象,将确诊为静脉血栓栓塞症的51例患者纳入血栓组,未发生静脉栓塞症的236例患者为非血栓组,分别采用3种风险评估量表对患者进行评分,绘制受试者工作特征曲线进行预测效能对比。结果:Pauda、Caprini、Autar量表的最佳诊断界值分别为0.5、3.5、5.5,受试者工作特征曲线下面积分别为0.613、0.701、0.623。结论:3种量表均可在一定程度上预测肾病综合征患者发生静脉血栓栓塞症的风险,预测能力从高到低依次为Caprini、Autar、Pauda量表。
Objective:To compare the predictive effects of Pauda,Caprini,and Autar thrombus risk assessment scales on the risk of Venous Thromboembolism(VTE)in patients with Nephrotic Syndrome.Methods:A total of 287 hospitalized patients diagnosed with Nephrotic Syndrome in the Department of Nephrology at a tertiary grade A hospital in Beijing from January 2018 to March 2023 were recruited.A total of 51 patients diagnosed with VTE,and 236 patients without VTE(non-VTE group).Three risk assessment scales were used to assess the thrombus risk,and Receiver Operation Characteristic(ROC)curves were drawn for comparative prediction.Results:The optimal diagnostic thresholds for the Pauda,Caprini,and Autar scales were 0.5 points,3.5 points,and 5.5 points,respectively.The area under the ROC Curve(AUC)was 0.613,0.701,and 0.623,respectively.Conclusion:All three scales can predict the risk of VTE in Nephrotic Syndrome to a certain extent,with the Caprini,Autar,and Pauda scales ranking in order of predictive ability from high to low.
作者
姜楠
刁佳
苏春燕
崔专
JIANG Nan;DIAO Jia;SU Chunyan;CUI Zhuan(Department of Nephrology,Peking University Third Hospital,Beijing,100191,China)
出处
《中国护理管理》
CSCD
北大核心
2024年第6期835-839,共5页
Chinese Nursing Management
基金
北京大学第三医院护理科研种子基金(BYSYHL2020002)。
