武警医学Issue(12)：1195-1198,4.
老年多器官功能不全综合征预后评估五种评分系统比较
Application of five scoring systems to prognostic evaluation in multiple organ dysfunction syndrome in the elderly
摘要
Abstract
Objective To compare the prognostic value of five scoring systems in patients with multiple organ dysfunction syn-drome in the elderly( MODSE) .Methods In this study, we collected the clinical data of 465 patients with MODSE.Acute Physiology and Chronic Health EvaluationⅡ( APACHEⅡ) score, Acute Physiology and Chronic Health Evaluation Ⅲ ( APACHE Ⅲ) score, Simplified Acute Physiology ScoreⅡ( SAPSⅡ) , Sequential Organ Failure Assessment ( SOFA) score and Multiple Organ Dysfunc-tion Syndrome in the Elderly Score( MODSES) were all calculated.The prognostic values of five scoring systems were evaluated by re-ceiver operator characteristic( ROC) curve.Results In receiver operating characteristic curve analysis, the area under the curve was 0.768( 95%CI, 0.725-0.811) for APACHEⅡ, 0.796(95%CI, 0.755-0.837) for APACHE Ⅲ, 0.789(95%CI, 0.748-0.830) for SAPSⅡ, 0.746(95%CI, 0.701-0.791) for SOFA and 0.783(95%CI, 0.740-0.825) for MODSES, APACHEⅢhad the high-est sensitivity of 0.780, and APACHEⅡhad the highest specificity of 0.835.Conclusions The five scoring systems showed satis-factory forecasting ability in prognostic prediction of patients with MODSE.The scoring systems with high prognostic values are A-PACHEⅢ, SAPSⅡand MODSES.关键词
老年多器官功能不全综合征/预后评估Key words
multiple organ dysfunction syndrome in the elderly/effectiveness evaluation分类
医药卫生引用本文复制引用
赵志锐,王慧娟,张鑫,郭超,解立新..老年多器官功能不全综合征预后评估五种评分系统比较[J].武警医学,2014,(12):1195-1198,4.基金项目
国家自然科学基金 （）
