{"title":"急性中毒患者急性生理与慢性健康评价IV评分系统的疗效评价","authors":"Farideh Khodabandeh, S. Shadnia, Matien Pormatine","doi":"10.22037/NBM.V6I4.21277","DOIUrl":null,"url":null,"abstract":"Background: The present study aims to assess the ability of the acute physiology, chronic health evaluation IV (APACHE IV) scoring system to predict in-hospital mortality of intensive care unit (ICU) patients with acute poisoning. M aterials and Methods: Using data from 622 consecutive ICU admitted poisoned patients, Loghman-e-Hakim Hospital, Tehran, during May 2015-April 2016. Various statistical tools used to assess the correlation, significance, and predictability. R es ults: Overall APACHE IV scoring system was statistically significant (P=.001). Death rate prediction, increased from 79.4% to 86.8 % by model, with SMR =0.83%. A meaningful association between APACHE-IV score and the risk of mortality with good discrimination and, calibration (p value of 0.978) was evident. Conclusion: The present study demonstrates that the APACHE IV system performs acceptably in our patients with acute poisoning and can be utilized as a performance assessment tool in poisoning centers.","PeriodicalId":19372,"journal":{"name":"Novelty in Biomedicine","volume":"58 4 1","pages":"174-179"},"PeriodicalIF":0.0000,"publicationDate":"2018-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":"{\"title\":\"Performance Assessment of the Acute Physiology and Chronic Health Evaluation IV Scoring System in Outcome of Patients fallowing Acute Poisoning\",\"authors\":\"Farideh Khodabandeh, S. Shadnia, Matien Pormatine\",\"doi\":\"10.22037/NBM.V6I4.21277\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: The present study aims to assess the ability of the acute physiology, chronic health evaluation IV (APACHE IV) scoring system to predict in-hospital mortality of intensive care unit (ICU) patients with acute poisoning. M aterials and Methods: Using data from 622 consecutive ICU admitted poisoned patients, Loghman-e-Hakim Hospital, Tehran, during May 2015-April 2016. Various statistical tools used to assess the correlation, significance, and predictability. R es ults: Overall APACHE IV scoring system was statistically significant (P=.001). Death rate prediction, increased from 79.4% to 86.8 % by model, with SMR =0.83%. A meaningful association between APACHE-IV score and the risk of mortality with good discrimination and, calibration (p value of 0.978) was evident. Conclusion: The present study demonstrates that the APACHE IV system performs acceptably in our patients with acute poisoning and can be utilized as a performance assessment tool in poisoning centers.\",\"PeriodicalId\":19372,\"journal\":{\"name\":\"Novelty in Biomedicine\",\"volume\":\"58 4 1\",\"pages\":\"174-179\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2018-10-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Novelty in Biomedicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.22037/NBM.V6I4.21277\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Novelty in Biomedicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.22037/NBM.V6I4.21277","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 2
摘要
背景:本研究旨在评估急性生理、慢性健康评估IV (acute physiology, chronic health evaluation IV, APACHE IV)评分系统对重症监护病房(ICU)急性中毒患者住院死亡率的预测能力。材料与方法:利用2015年5月- 2016年4月德黑兰Loghman-e-Hakim医院ICU连续收治的622例中毒患者的资料。用于评估相关性、显著性和可预测性的各种统计工具。结果:APACHE IV评分系统总体差异有统计学意义(P= 0.001)。模型预测死亡率由79.4%提高到86.8%，SMR =0.83%。APACHE-IV评分与死亡风险之间存在显著相关性，具有良好的判别性和校正性(p值为0.978)。结论:本研究表明APACHE IV系统在急性中毒患者中表现良好，可作为中毒中心的绩效评估工具。
Performance Assessment of the Acute Physiology and Chronic Health Evaluation IV Scoring System in Outcome of Patients fallowing Acute Poisoning
Background: The present study aims to assess the ability of the acute physiology, chronic health evaluation IV (APACHE IV) scoring system to predict in-hospital mortality of intensive care unit (ICU) patients with acute poisoning. M aterials and Methods: Using data from 622 consecutive ICU admitted poisoned patients, Loghman-e-Hakim Hospital, Tehran, during May 2015-April 2016. Various statistical tools used to assess the correlation, significance, and predictability. R es ults: Overall APACHE IV scoring system was statistically significant (P=.001). Death rate prediction, increased from 79.4% to 86.8 % by model, with SMR =0.83%. A meaningful association between APACHE-IV score and the risk of mortality with good discrimination and, calibration (p value of 0.978) was evident. Conclusion: The present study demonstrates that the APACHE IV system performs acceptably in our patients with acute poisoning and can be utilized as a performance assessment tool in poisoning centers.
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