qSOFA标准在预测急性胰腺炎不良预后中的应用

Journal of Clinical and Analytical Medicine Pub Date : 2019-05-01 DOI:10.4328/JCAM.6151

M. C. Goktekin

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Goktekin\",\"doi\":\"10.4328/JCAM.6151\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"DOI: 10.4328/JCAM.6151 Received: 02.01.2019 Accepted: 14.01.2019 Published Online: 16.01.2019 Printed: 01.05.2019 J Clin Anal Med 2019;10(3): 398-401 Corresponding Author: Mehmet Cagri Göktekin, Department of Emergency Medicine, Firat University School of Medicine, 23200, Elazig, Turkey. T.: +90 4242370000/1231 E-Mail: dr23mcg@gmail.com ORCID ID: 0000-0001-7911-8965 Abstract Aim: In this study,we aimed to investigate the usability of SOFA and qSOFA criteria in predicting the conditions by which the poor prognosis such as hospitalization in the intensive care unit, long length of hospital stay and death was observed for the patients receiving a diagnosis of acute pancreatitis in the emergency department. 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引用次数: 0

摘要

DOI:10.4328/JCAM.6151接收日期：2019年1月2日接受日期：2019年底1月14日在线发布日期：2019年初1日印刷日期：2019年年5月1日《临床分析医学杂志》；10（3）：398-401通讯作者：Mehmet Cagri Göktekin，菲拉特大学医学院急诊医学系，23200，土耳其埃拉泽。电话：+90 4242370000/1231电子邮件：dr23mcg@gmail.comORCID ID:0000-0001-7911-8965摘要目的：在本研究中，我们旨在研究SOFA和qSOFA标准在预测急诊科诊断为急性胰腺炎的患者的不良预后（如在重症监护室住院、住院时间长和死亡）方面的可用性。材料和方法：我们的研究使用了2013年至2018年间在大学医院急诊科通过计算机腹部断层扫描验证的98名急性胰腺炎患者的数据。设计为单肠回顾性研究。在向急诊科申请时计算患者的SOFA和qSOFA标准。结果：53%（n=52）的患者为女性。他们的平均年龄为57.5±18.57/年。48名（%49.0）患者被检测出有任何不良预后标准。在急诊科应用期间，还检测到17名（517.3）患者的qSOFA评分为1及以上，81名（582.7）患者的qcOFA评分为0。SOFA（对于qSOFA标准，p 0，我们确定AUC分别为0.641，灵敏度为%39.58，特异性为%86，CI%分别为0.538-0.735和p=0.001。讨论：用于预测败血症器官衰竭的SOFA和qSOFA准则可以作为一种评分系统，用于预测急诊科急性胰腺炎的不良预后。

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Use of qSOFA criteria in prediction of poor prognosis in acute pancreatitis

DOI: 10.4328/JCAM.6151 Received: 02.01.2019 Accepted: 14.01.2019 Published Online: 16.01.2019 Printed: 01.05.2019 J Clin Anal Med 2019;10(3): 398-401 Corresponding Author: Mehmet Cagri Göktekin, Department of Emergency Medicine, Firat University School of Medicine, 23200, Elazig, Turkey. T.: +90 4242370000/1231 E-Mail: dr23mcg@gmail.com ORCID ID: 0000-0001-7911-8965 Abstract Aim: In this study,we aimed to investigate the usability of SOFA and qSOFA criteria in predicting the conditions by which the poor prognosis such as hospitalization in the intensive care unit, long length of hospital stay and death was observed for the patients receiving a diagnosis of acute pancreatitis in the emergency department. Material and Method: The data of 98 patients with acute pancreatitis diagnosis which was verified by the computerized abdominal tomography in the university hospital emergency department between 2013 and 2018 were used in our study. that was designed as monocenteric retrospective study. The SOFA and qSOFA criteria of the patients were calculated during the application to the emergency department. Results: Fifty-three percent (n=52) of the patients were female. Their age averages were 57.5±18.57/year. Forty-eight (%49.0) patients were detected to have any of the poor prognostic criteria. It was also detected that the qSOFA score of 17 (517.3) patients were 1 and above and the qSOFA score of 81 (582.7) patients was 0 during the application to the emergency department. The SOFA (p<0.001) and qSOFA (p=0.004) values were significantly different for the patients having the good prognosis and poor prognosis. When we take the Cut-off as > 0 for the qSOFA criteria, we determined the AUC as 0.641, Sensitivity as %39.58, Specificity as %86, and CI% as 0.538 to 0.735, and p=0.001, respectively. Discussion: The SOFA and qSOFA criteria used in order to predict the organ failure in the sepsis can be a scoring system that will be able to be used in predicting the poor prognosis in acute pancreatitis in the emergency department.

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Journal of Clinical and Analytical Medicine MEDICINE, GENERAL & INTERNAL-

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期刊介绍： The Annals of Clinical and Analytical Medicine is an international open-access journal containing peer-reviewed high-quality articles on clinical medicine in the areas of all research study types, reviews, and case reports. Our journal has become an important platform with the help of language support services, which make it easier for writers who have English as their second language to share their clinical experiences with the world.