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.
关键词
快速序贯器官衰竭评分/社区获得性肺炎/机械通气
Key words
Quick Sequential Organ Failure Assessment/community-acquired pneumonia/mechanical ventilation
维普
万方数据