山东医药2017，Vol.57Issue(36)：25-27,后插1,4.DOI:10.3969/j.issn.1002-266X.2017.36.007
WIC评分预测心肺复苏后自主循环恢复患者预后的价值
Predictive value of WIC in prognosis of patients with restoration of spontaneous circulation after cardiopulmonary resuscitation
摘要
Abstract
Objective To explore the predictive value of Charlson's weighted index of comorbidities (WIC) in predicting the prognosis of patients with restoration of spontaneous circulation (ROSC) after cardiopulmonary resuscitation (CPR).Methods A retrospective review was performed for the patients with ROSC after CPR.In 182 enrolled patients,139 patients died and 43 patients survived.The clinical data were recorded including general information (gender,age),original diseases (myocardial infarction,congestive heart failure,peripheral vascular disease,cerebrovascular accident,dementia,chronic lung diseases,connective tissue disease,ulcers,mild liver damage,diabetes,hemiplegia,moderately severe kidney disease,diabetes accompanied with organ damage,tumors,and moderately severe liver diseases,etc.),complications [sepsis and multiple organ failure (MODS)] and WIC score,acute physiology and chronic health evaluation Ⅱ (APACHE Ⅱ) score.The logistic regression was used and the receiver operating characteristic curve (ROC curve) was drawn to calculate the prognosis of ROSC patients.Results Univariate analysis showed that age,complications (sepsis and MODS),WIC score and APACHE Ⅱ score were independently associated with the prognosis of patients with CRP after ROSC (all P ＜ 0.05);gender and original diseases had nothing to do with the prognosis of ROSC patients (all P ＞ 0.05).Multivariate logistic regression analysis showed that age (OR =1.050,95％ CI:1.008-1.094),WIC score (OR =0.544,95 ％ CI:1.058-2.254),APACHE Ⅱ score (OR =1.471,95％ CI:1.204-1.796) and having MODS or not (OR =3.207,95％ CI:1.321-7.789) were independently associated with the prognosis of ROSC patients (all P ＜ 0.05).ROC curve areas of WIC score,APACHE Ⅱ score and the combination of the two in predicting the prognosis of patients were 0.723 (95％ CI:0.648-0.817),0.806 (95％ CI:0.727-0.885),0.822 (95％ CI:0.749-0.895).The predictive value of the combination of the two and APACHE Ⅱ score were greater than that of WIC score in predicting prognosis (Z =2.659,2.125,all P ＜0.05).But there was no significant difference between the combination of the two and APACHE Ⅱ score (P ＞ 0.05).Conclusion WCI score can be used for predicting the prognosis of patients with ROSC after CPR,which is more convenient and easy to carry out.关键词
心肺复苏/自主循环恢复/查尔森合并症指数评分/急性生理与慢性健康状况Ⅱ评分/预后Key words
cardiopulmonary resuscitation/return of spontaneous circulation/Charlson's weighted index of comorbidities/Acute physiology and chronic health Ⅱ score/prognosis分类
医药卫生引用本文复制引用
徐伟干,姜骏,符岳,罗银秋,霍健杨,黄祖华..WIC评分预测心肺复苏后自主循环恢复患者预后的价值[J].山东医药,2017,57(36):25-27,后插1,4.基金项目
佛山市科技创新项目(2016AG100511). （2016AG100511）
