Correlation Between APACHE Ⅱ and SOFA Scores and Prognosis of Patients with Blood-Borne Acinetobacter Baumannii Infection
Objective:To investigate the correlation between acute physiology and chronic health status score System Ⅱ(APACHEⅡ)and sequential organ failure(SOFA)score and death at 28 days in patients with blood-borne acinetobacter baumannii infection.Methods:The clinical data of 91 patients with blood-borne acinetobacter baumannii infection admitted to the General Hospital of Tianjin Medical University from May 2018 to May 2023 were retrospectively analyzed,and the independent risk factors affecting the 28-day death of patients with blood-borne acinetobacter baumannii infection were analyzed by Logistic regression.Receiver 0perating Characteristic(ROC)curve was used to analyze the prognostic value of APACHEⅡ and SOFA scores in these patients.Results:Unifactorial analysis showed that the risk factors affecting the 28-day prognosis of patients with hematogenous acinetobacter baumannii infection included age,ICU stay,length of stay,pneumonia,operation,deep vein catheterization,bronchoscopy,renal insufficiency,APACHE Ⅱ score and SOFA score.Multivariate Logistic analysis showed that APACHE Ⅱ and SOFA scores were independent risk factors for the 28-day prognosis of patients with blood-borne acinetobacter baumannii infection,and surgery was a protective factor for the infection.ROC curve analysis results showed that the APACHE Ⅱ and SOFA scores in the death group were higher than those in the survival group on the first day,with statistical significance(P<0.05).Conclusion:APACHEⅡ and SOFA scores on the day of bloodstream infection are of great value in evaluating the 28 d prognosis of patients with blood-borne acinetobacter baumannii infection.
Acinetobacter baumanniiHematogenicAcute physiology and chronic health status scoring system ⅡSequential organ failure scorePrognosis
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