布列斯特评分在急诊科预测急性心力衰竭诊断中的准确性

Ahmed Abd Fatah, S. Wagdy, M. Alim, Mina Montasser
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引用次数: 0

摘要

背景:急性心力衰竭(AHF)的早期诊断和适当管理旨在改善血流动力学平衡,改善功能能力,降低死亡率,缩短住院时间。然而,在急诊科(ED),诊断主要基于临床体征和标准参数,这往往是一个挑战。早期应用布列斯特评分可缩短诊断时间,提高诊断准确率。目的本研究的目的是评估Brest评分在预测急诊科未分化性呼吸困难患者AHF的有效性。患者和方法本研究对亚历山大大学附属医院急诊科收治的100例急性呼吸困难成年患者进行了研究。本研究旨在获得AHF诊断的初步印象,然后将其与最终诊断进行比较,以确定准确性、一致性、敏感性和特异性。结果将布列斯特评分与超声心动图作为诊断心衰的金标准进行比较。从布列斯特评分得到的数据,受试者-工作特征曲线下面积为0.84,95%置信区间为0.667-1,P值小于0.001为极显著性。结论Brest评分对ED中AHF的诊断准确率较高,是一种可靠、快速、无创的床边诊断技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diagnostic accuracy of the Brest score for prediction of acute heart failure in the emergency department
Background Early diagnosis and appropriate management of acute heart failure (AHF) is aimed at better hemodynamic balance, improved functional capacity, decreased mortality, and shorter length of hospital stay. However, this is often a challenge in the emergency department (ED), where diagnosis is mainly based on clinical signs and standard parameters. Early use of Brest score could reduce the diagnosis time and improve diagnostic accuracy. Purpose The aim of this study is to evaluate the validity of the Brest score in the prediction of AHF in undifferentiated dyspnea in ED. Patients and methods The study was conducted on 100 adult patients admitted to the ED of Alexandria Main University Hospital with acute dyspnea. The study was conducted to reach initial impression about AHF diagnosis, which was then compared with the final diagnosis to determine accuracy, agreement, sensitivity, and specificity. Results The data acquired from Brest score in the diagnosis of HF is compared with echocardiography as a gold standard. The area under the receiver-operating characteristic curve for the data received from Brest score was 0.84, 95% confidence interval: 0.667–1, with a P value lower than 0.001 being highly significant. Conclusion The Brest score showed high accuracy in identifying AHF in ED, so it is considered a bedside, reliable, rapid, and noninvasive technique.
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