| 3种评分对慢性阻塞性肺疾病急性加重患者预后评估价值 |
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| 引用本文： | 徐苗苗,于树云,张亭亭. 3种评分对慢性阻塞性肺疾病急性加重患者预后评估价值[J]. 天津医科大学学报, 2017, 0(6): 530-533 |
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| 作者姓名： | 徐苗苗 于树云 张亭亭 |
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| 作者单位： | （天津医科大学第二医院呼吸科，天津 300211） |
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| 摘 要： |
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| 关 键 词： | 慢性阻塞性肺疾病急性加重 CURB-65评分 BAP-65评分 DECAF 评分 |
Evaluation of the three scores to assess the severity of chronic obstructive pulmonary disease exacerbation |
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| XU Miao-miao,YU Shu-yun,ZHANG Ting-ting. Evaluation of the three scores to assess the severity of chronic obstructive pulmonary disease exacerbation[J]. Journal of Tianjin Medical University, 2017, 0(6): 530-533 |
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| Authors: | XU Miao-miao YU Shu-yun ZHANG Ting-ting |
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| Affiliation: | （Department of Respiratory Medicine，The Second Hospital，Tianjin Medical University，Tianjin 300211 ，China） |
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| Abstract: | Objective:To explore the value of the CURB-65 score，the BAP-65 score，the DECAF score evaluating the prognosis with acute exacerbation of chronic obstructive pulmonary disease（AECOPD）. Methods: The CURB-65 score, BAP -65 score, DECAF score of 302 cases patients were analyzed within 24 hours after admission.According to survive conditions,the 302 patient were divided intodeath and survival group. Then the difference of these three scores were compared between the two groups.Each scale was grouped by their own scores,and the mortality was calculated respectively.The prediction value of the scores on hospital mortality was evaluated through ROC curve. Results: The death group and the survival group had significant differences among the three scores(P＜0.05).There were apparent differences among the three scores of CURB-65, BAP-65,DECAF ,and the difference between each group had statistical significance(P＜0.05).With the increase of three rating scores, hospital mortality increased correspondingly.In the patients whose DECAF and CURB-65 scores were higher than four points, the hospital mortality 48%,50%, and BAP-65 scores was higher than four points, and the hospital mortality was 80%.The area under the receiver operating characteristic curve (AUROC) of CURB-65 and BAP-65 was above 0.80, the AUROC of DECAF was 0.95.By Z test, the results showed that there was no statistically significant difference (P＞0.05) between CURB-65 score and BAP-65 score.DECAF score was compared with CURB-65 and BAP-65 score, respectively,and the difference was statistically significant ( P＜0.05) . Conclusion: CURB-65, BAP-65 and DECAF scores on admission may have certain value in predicting hospital mortality rate of AECOPD .The degree of DECAF score has the highest? accuracy in terms of prognosis prediction among the three scores. |
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| Keywords: | acute exacerbation of ?chronic obstructive pulmonary disease CURB-56 score BAP-65? score DECAF? score |
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