基于红细胞分布宽度的肺炎临床评分对ICU社区获得性肺炎预后的判断价值

目的 探讨基于红细胞分布宽度的肺炎临床评分(RPCS)对收住重症监护病房(ICU)的社区获得性肺炎(CAP)预后的判断价值,并与CURB-65评分、PSI评分比较.方法 回顾性分析2017年10月至2019年8月在黄山市人民医院ICU住院的CAP患者的临床资料.根据患者在ICU的转归分为死亡组(n=30例)与好转组(n...

Value of RPCS score in assessing prognosis of patients with communityacquired pneumonia

Objective To evaluate the prognostic effects of RDW based pneumonia clinical score in patients admitted in ICU with community acquired pneumonia, compared with CURB-65 score and pneumonia severity index(PSI) score.Methods The clinical characteristics of patients admitted to People''s Hospital of Huangshan from October 2017 to August 2019 with a diagnosis of community acquired pneumonia were retrospectively analyzed. The patients were assigned to the death group(n=30) and the survival group(n=74). Three different scores were compared with other variables. The areas under the receiver operating characteristic curve were applied to evaluate three scores prognosis values in community-acquired pneumonia of ICU.Results Among 104 patients, 30 patients were finally assigned to the death group and 74 patients to the survival group. The mortality was 28.85%. The area under the ROC of CURB-65 score, PSI score and RPCS score was respectively 0.652 (95%CI:0.533~0.770, P=0.016), 0.798 (95%CI:0.709~0.886, P<0.001), 0.858 (95%CI:0.788~0.928, P<0.001). The area under the ROC of PSI score and RPCS score was higher than that of CURB-65 score (Z=1.981, P=0.048;Z=3.167, P=0.002). The area under the ROC curve of RPCS score and PSI score showed no statistically significant difference (Z=1.062, P=0.288). Conclusion RPCS score has greater prognostic value in patients with community acquired pneumonia, which is equal to PSI score and better than CURB-65 score.The score is simple and worthy of clinical popularization and application.