SOFA qSOFA MEWS和SIRS四种危险评分对急诊监护室疑似感染患者28 d死亡的评估价值比较研究

doi:10.3969/j.issn.1002-1949.2019.11.015

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摘要目的比较序贯器官衰竭评分(sepsis-related organ failure assessment, SOFA)、快速序贯器官衰竭评分(quick sepsis-related organ failure assessment, qSOFA）、改良早期预警评分(modified earl ywarning score， MEWS)和全身炎症反应综合征评分(systemic inflammatory response syndrome, SIRS）对急诊监护室(emergent intensive care unit, EICU)疑似感染患者28 d死亡的预测价值。方法前瞻性队列研究法对在2017年2月至2018年3月期间我院EICU疑似感染患者进行观察。记录临床资料和上述四种评分，随访入EICU 28 d的全因死亡。结果纳入研究的163例疑似感染患者，28 d随访中死亡51例（31%）。四种评分的曲线下面积（area under curve，AUC）分别为0.782（95%CI0.711~0.843）、0.704（95%CI 0.628~0.773）、0.640（95%CI0.562~0.714）和0.516（95%CI0.436~0.595）。结论 SOFA评分对EICU疑似感染患者28 d死亡的预测能力最好。

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	叶志澄
	李敏
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	李云妹
	莫均荣
	田朝伟
	林珮仪

关键词 ：序贯器官衰竭评分（SOFA）, 快速序贯器官衰竭评分（qSOFA）, 改良早期预警评分（MEWS）, 全身炎症反应综合征评分（SIRS）, 急诊监护室（EICU）, 疑似感染

基金资助:广州市卫生和计划生育科技项目（20161AO11071）;广州市医学重点学科建设项目（2017-2019年）

通讯作者: 林珮仪（1965-），女，教授，副主任医师，科主任，E-mail：linpeiyi@163.com。

作者简介: 叶志澄（1986-），男，住院医师，E-mail：orangeyzc@163.com。

引用本文:

叶志澄，李敏，江慧琳，李云妹，莫均荣，田朝伟，林珮仪. SOFA qSOFA MEWS和SIRS四种危险评分对急诊监护室疑似感染患者28 d死亡的评估价值比较研究[J]. 中国急救医学, 2019, 39(11): 1084-1088.
Ye Zhi-cheng, Li Min, Jiang Hui-lin,Li Yun-mei, Mo Jun-rong, Tian Chao-wei, Lin Pei-yi. Comparison of SOFA qSOFA MEWS and SIRS four risk scores in evaluating the 28-day mortality of patients with suspected infection in EICU. Chinese Journal of Critical Care Medicine, 2019, 39(11): 1084-1088.

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http://www.cnemergency.org.cn/CN/10.3969/j.issn.1002-1949.2019.11.015 或 http://www.cnemergency.org.cn/CN/Y2019/V39/I11/1084

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