首页|qSOFA、CURB-65、SMART-COP评分对社区获得性肺炎短期内需要机械通气的预测价值

qSOFA、CURB-65、SMART-COP评分对社区获得性肺炎短期内需要机械通气的预测价值

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目的 探讨快速序贯器官衰竭评分(qSOFA)、CURB-65 评分及SMART-COP评分对社区获得性肺炎(CAP)短期内需要机械通气的预测价值.方法 选取2020 年1 月至2022 年1月收治的189 例CAP患者,分析入院时的qSOFA、CURB-65、SMART-COP评分以及三种评分系统分别联合合并症对CAP入院 1 周内需要机械通气的预测价值.结果 qSOFA、CURB-65、SMART-COP评分对需要机械通气的预测能力比较,差异无统计学意义(P>0.05).qSOFA评分的曲线下面积(AUC)小于qSOFA评分联合慢性支气管炎(CB)/慢性阻塞性肺疾病(COPD)和qSOFA评分联合高血压(P<0.05).结论 qSOFA、CURB-65、SMART-COP评分对CAP短期内需要机械通气均有一定的预测价值,且预测效能相当;联合CB/COPD、高血压可提高qSOFA评分的预测效能.
Predictive value of qSOFA,CURB-65 and SMART-COP scores for short-term need mechanical ventilation in community-acquired pneumonia
Objective To investigate the predictive value of Quick Sequential Organ Failure Assessment(qSOFA),CURB-65 score and SMART-COP score for short-term need mechanical ventilation in community-acquired pneumonia(CAP).Methods A total of 189 patients with CAP admitted from January 2020 to January 2022 were selected.The predictive value of qSOFA,CURB-65 and SMART-COP scores at admission and the combination of the three scoring systems with complications on the need for mechanical ventilation within 1 week of CAP admission were analyzed.Results There were no significant differences in the predictive ability of qSOFA,CURB-65 and SMART-COP scores for the need of mechanical ventilation(P>0.05).The area under curve(AUC)of qSOFA score was less than that of qSOFA score combined with chronic bronchitis(CB)/chronic obstructive pulmonary disease(COPD)and qSOFA score combined with hypertension(P<0.05).Conclusion The qSOFA,CURB-65 and SMART-COP scores have certain predictive value for the short-term need for mechanical ventilation in CAP,and the predictive efficacy is comparable;the combination of CB/COPD and hypertension can improve the predictive efficacy of qSOFA score.

Quick Sequential Organ Failure Assessmentcommunity-acquired pneumoniamechanical ventilation

刘先、弋佳君、范秋宏

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南充市中医医院,四川 南充,637000

快速序贯器官衰竭评分 社区获得性肺炎 机械通气

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(17)