摘要
为了验证APACHEⅡ危重病评分系统是否适用于国内ICU病人评定，采取前瞻性研究方法，分析了上海华山医院1992年1月—1994年3月收住急诊科ICU病人334例中的269名危重病病人。结果发现APACHEⅡ评分的计分值与死亡率有密切关系，随着APACHEⅡ计分值的增加，死亡率增高。同时发现，加强对ICU病人的护理工作，可以降低死亡危险度。采用Logistic回归分析，死亡率与APACHEⅡ计分及于ICU住院时间的方程式如下：死亡率＝－5．7194＋1．7325APACHEⅡ计分－0．
To validate whether the Acute Physiology and Chronic Health Evaluation (AnACHE Ⅱ) Sevetity of Illness Scoriag System is suitable for Chincse patients in ICU.we analysed the data from 169 of 334 consecutive patients admitted to the ICU of Emergency Departmeut in Hua Shan Hospital from January 1992 to May 1994 using historical and retrospective study method.The result indicated that APACHE ⅡScores was closely correlated with mortality. As APACHEⅡ scores increased,mortality was up.Incidentally,we found that nursing care in ICU can lower te rislk of death.The regress line for mortality with APACHE Ⅱscores and patients hospitalization time was generated with logistic regression,that is.Mortality= - 5. 7194 + 1. 7355 APACHEⅡ scores - 0. 3386 hospita1ization time
出处
《急诊医学》
CSCD
1996年第1期3-8,共6页
关键词
危重病
评分系统
死亡率
死亡危险度
ICU
Acute physiology and chronic health evaluation APACHE ⅡScoring System Mortality The risk of death Logistic regression Hospitalization time
