{"title":"预测脑型疟疾预后的APACHE II评分。","authors":"P Wilairatana, S Looareesuwan","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>The APACHE II (Acute Physiology and Chronic Health Evaluation) severity-of-disease classification system was used to stratify the prognosis of 72 adult patients with cerebral malaria. Overall mortality was 13.89%. With the cut-off point at a score of 24, the APACHE II score stratified the patients' mortality outcome with 95.8% accuracy. High APACHE II score, deep unconsciousness, acute renal failure and acidaemia were identified as poor prognostic factors. We suggest that the APACHE II system is useful for stratifying the prognosis of group outcome in cerebral malaria patients.</p>","PeriodicalId":76688,"journal":{"name":"The Journal of tropical medicine and hygiene","volume":"98 4","pages":"256-60"},"PeriodicalIF":0.0000,"publicationDate":"1995-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"APACHE II scoring for predicting outcome in cerebral malaria.\",\"authors\":\"P Wilairatana, S Looareesuwan\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>The APACHE II (Acute Physiology and Chronic Health Evaluation) severity-of-disease classification system was used to stratify the prognosis of 72 adult patients with cerebral malaria. Overall mortality was 13.89%. With the cut-off point at a score of 24, the APACHE II score stratified the patients' mortality outcome with 95.8% accuracy. High APACHE II score, deep unconsciousness, acute renal failure and acidaemia were identified as poor prognostic factors. We suggest that the APACHE II system is useful for stratifying the prognosis of group outcome in cerebral malaria patients.</p>\",\"PeriodicalId\":76688,\"journal\":{\"name\":\"The Journal of tropical medicine and hygiene\",\"volume\":\"98 4\",\"pages\":\"256-60\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"1995-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The Journal of tropical medicine and hygiene\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Journal of tropical medicine and hygiene","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
采用APACHEⅱ(Acute Physiology and Chronic Health Evaluation)疾病严重程度分级系统对72例脑型疟疾成人患者的预后进行分层。总死亡率为13.89%。截断点为24分，APACHE II评分对患者死亡结果进行分层，准确率为95.8%。APACHEⅱ评分高、深度昏迷、急性肾功能衰竭和酸血症被认为是预后不良的因素。我们认为APACHE II系统对脑型疟疾患者的预后分层是有用的。
APACHE II scoring for predicting outcome in cerebral malaria.
The APACHE II (Acute Physiology and Chronic Health Evaluation) severity-of-disease classification system was used to stratify the prognosis of 72 adult patients with cerebral malaria. Overall mortality was 13.89%. With the cut-off point at a score of 24, the APACHE II score stratified the patients' mortality outcome with 95.8% accuracy. High APACHE II score, deep unconsciousness, acute renal failure and acidaemia were identified as poor prognostic factors. We suggest that the APACHE II system is useful for stratifying the prognosis of group outcome in cerebral malaria patients.
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