Prognostic Value Of Chest CT Findings Combined with Cpis in Patients with Severe Pneumonia
Objective To analyze the prognostic value of chest computed tomography(CT)findings combined with clinical pulmonary infection score(CPIS)in patients with severe pneumonia.Methods A total of 86 patients with severe pneumonia admitted to ICU of the First Affiliated Hospital of Henan University were enrolled between January 2021 and January 2023.According to 28d survival,they were divided into survival group and death group.All patients underwent chest CT plain scan within 48h after admission,and imaging findings of chest CT were quantitatively analyzed and visually scored.The severity of pulmonary infection was evaluated by CPIS.The clinical data of patients were collected,including gender,age and body mass index(BMI).The risk factors of prognosis in patients with severe pneumonia were analyzed by Logistic regression analysis.The prognostic value of chest CT combined with CPIS in patients with severe pneumonia was evaluated by receiver operating characteristic(ROC)curves.Results In the 86 patients with severe pneumonia within 28d after admission,there were 20 death cases(23.26％).The white blood cell count,PCT,CRP,CPIS,CT score and APACHE Ⅱ score in death group were higher than those in survival group(P＜0.05).Logistic regression showed that CPIS score,APACHE Ⅱ score,and CT score were risk factors for poor prognosis(P＜0.05).ROC curves analysis showed that area under the curve(AUC)values of CPIS,CT score and combined detection for evaluating prognosis were 0.719,0.746 and 0.892,respectively(P＜0.05).Conclusion CT score combined with CPIS has better evaluation efficiency for prognosis of patients with severe pneumonia.
Severe PneumoniaChest CTClinical Pulmonary Infection ScorePrognosis
万方数据
维普
