两种量表对ICU患者皮肤反应性充血的风险预测价值
Risk predictive value of two kinds of scales on skin postocclusive reactive hyperemiain ICU patients
于艳瑞 1钟丽霞 1王硕 1王欣然1
作者信息
- 1. 首都医科大学宣武医院普通外科ICU,北京 100053
- 折叠
摘要
目的 探究并比较Cubbin & Jackson量表和Braden量表对ICU患者皮肤发生反应性充血的预测价值.方法 采用便利抽样法,选择2016年6月－2018年6月首都医科大学宣武医院外科ICU患者150例为研究对象,于入住ICU 14 d内分别采用Braden量表和Cubbin & Jackson量表进行皮肤反应性充血风险评估.在2个量表的最佳临界值下比较2个量表的灵敏度、特异度、阳性预测值及阴性预测值,并通过分析ROC曲线下面积比较2种量表对反应性充血的预测价值.结果 以《压力性损伤诊疗新进展与实践》中反应性充血的概念为金标准,46例(30.6%,46/150)发生反应性充血,其中6例(13.0%, 6/46)进展为压力性损伤.Cubbin & Jackson量表与Braden量表的最佳临界值分别为29、13,Cubbin &Jackson量表与Braden量表的灵敏度、特异度、阳性预测值、阴性预测值及ROC曲线下面积分别为90%、63%、68%、97%、0.875和96%、43%、35%、94%、0.537.结论 Cubbin & Jackson量表对反应性充血的灵敏度不如Braden量表高,但整体平衡性较Braden量表好,预测能力较Braden量表高.
Abstract
Objective To explore the predictive value of Cubbin & Jackson Scale and Braden scale on skin postocclusive reactive hyperemia in intensive care unit (ICU) patients. MethodsFrom June 2016 to June 2018, we selected 150 surgical ICU at Xuanwu Hospital of Capital Medical University as subjects by convenient sampling. The Braden Scale and Cubbin & Jackson Scale were used to evaluate the risk of skin postocclusive reactive hyperemia in ICU within 14 days. We compared the sensitivity, specificity, positive predictive value and negative predictive value of two kinds of scale based on the best critical values. The areas under the receiver operating characteristic (ROC) curve were used to compare the predictive value for reactive hyperemia of two kinds of scale. ResultsTaking the concept of reactive hyperemia in "Science and practice of pressure ulcer management" as the gold standard, there were 46 (30.6%, 46/150) cases with reactive hyperemia and 6 (13.0%, 6/46) cases with pressure ulcer. The best critical values of Cubbin & Jackson scale and Braden scale were 29 and 13 respectively. The sensitivity, specificity, positive predictive value, negative predictive value and areas under the ROC of Cubbin & Jackson Scale and Braden Scale were 90%, 63%, 68%, 97%, 0.875 and 96%, 43%, 35%, 94%, 0.537 respectively. ConclusionsThe sensitivity in reactive hyperemia of Cubbin & Jackson Scale is lower,but the the holistic balance is higher than that of Braden scale which shows that the predictive value is higher than that of Braden.
关键词
重症监护病房/反应性充血/压力性损伤/Braden量表/Cubbin/&/Jackson量表/预测Key words
Intensive care unit/Reactive hyperemia/Pressure ulcer/Braden Scale/Cubbin &Jackson Scale/Prediction引用本文复制引用
出版年
2019
NETL
NSTL
维普
万方数据