摘要
目的 :探讨 APACHE 对急性肾功能衰竭预后的预测价值及并发症评分对评分系统的作用。方法 :本院 1976～ 1996年住院的急性肾功能衰竭患者 34 8例 ,按入院后第 1次检查资料进行 APACHE 评分 ,比较各得分段的病死率 ;对并发症进行评分 ,比较并发症得分引入 APACHE 评分系统前后评分对预后的预测作用。结果 :APACHE 评分升高 ,病死率随之升高 ;引入并发症评分后病死率亦随总得分的升高而升高。引入并发症评分的判别分析方程具有较高的准确率、较大的正确指数及较小 L am bda值。结论 :APACHE 评分可以较好预测急性肾功能衰竭的预后 ,并发症评分的引入有可能改善预测的准确性。
Objective:To investigate the predicitive value of APACHE Ⅱ score system in prognostic assessment of patients with acute renal failure (ARF).Methods:Clinical data from 348 patients were analyzed together with APACHEⅡ score and mortality.Scores of complications were also defined.The difference of predictive value between complication score and noncomplication score was compared.Results:The mortality increased along with the increase in APACHEⅡ scores as well as the complication scores.Discriminated function with complication scores had less lambda value,higher predictive value and higher correct index than those without complication scores.Conclusions:APACHEⅡ score can well predict the prognosis of ARF patients.With complication score,the predictive power could be improved.
出处
《中国危重病急救医学》
CSCD
2000年第4期226-227,共2页
Chinese Critical Care Medicine
关键词
肾功能衰竭
急性
并发症
预后
acute renal failure
APACHEⅡ
complication scores
prognosis
