序贯器官衰竭评分对急诊危重患者30d病死率的预测价值研究

doi:10.3969/j.issn.1002-1949.2019.01.011

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摘要目的评估序贯器官衰竭评分（SOFA）对急诊危重患者30 d病死率的预测价值。方法收集2016年10月至2017年10月在海南省人民医院急诊科就诊的140例危重患者，采集病史和基本临床特征。根据SOFA评分系统的定义进行评分，最后计算SOFA评分对危重患者30 d病死率的预测价值，评估患者的SOFA评分与病死率之间的关系。结果 140例危重患者平均总体SOFA评分为（7.13±2.36）分（最低2分，最高16分），117例（84.12％）得分在4~10分之间。72例（51.43％）在30 d内死亡，16例（11.43％）多器官衰竭，6例（4.29%）肾衰竭，1例（0.71%）心力衰竭，9例（6.43%）神经功能受损。SOFA评分预测患者病死率ROC曲线下面积（AUC）为0.73（95％CI 0.65～0.81）。截点值为7以上时SOFA评分对急诊危重患者30 d病死率预测的敏感性和特异性分别为75.00%和63.23%。结论 SOFA评分系统在预测急诊危重患者30 d病死率方面具有较好的准确性。

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	甘君英
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关键词 ：序贯器官衰竭评分（SOFA）, 急诊危重, 病死率, 预测

基金资助:2017年海南省卫生计生行业科研项目（16A200043）

通讯作者: 许和平（1983-），男，副主任医师，E-mail：1409156974@qq.com。

作者简介: 甘君英（1982-），女，硕士，E-mail:13637645248@163.com。

引用本文:

甘君英，许和平，吴开芳，陈芸妹，叶小娟. 序贯器官衰竭评分对急诊危重患者30d病死率的预测价值研究[J]. 中国急救医学, 2019, 39(1): 53-56.
Gan Jun-ying, Xu He-ping, Wu Kai-fang, Chen Yun-mei, Ye Xiao-juan. Predictive value of SOFA score on 30-day mortality in critically ill patients. Chinese Journal of Critical Care Medicine, 2019, 39(1): 53-56.

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http://www.cnemergency.org.cn/CN/10.3969/j.issn.1002-1949.2019.01.011 或 http://www.cnemergency.org.cn/CN/Y2019/V39/I1/53

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