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首页> 外文期刊>Acta anaesthesiologica Taiwanica : >Performance assessment of Acute Physiology and Chronic Health Evaluation II and Simplified Acute Physiology Score II in a referral respiratory intensive care unit in Iran
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Performance assessment of Acute Physiology and Chronic Health Evaluation II and Simplified Acute Physiology Score II in a referral respiratory intensive care unit in Iran

机译：伊朗转诊呼吸重症监护病房的急性生理和慢性健康评估II和简化的急性生理评分II的绩效评估

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AbstractBackground/purposeNowadays, Acute Physiology and Chronic Health Evaluation II (APACHE II) and Simplified Acute Physiology Score II (SAPS II) scoring systems have drawn much attention for the evaluation and prediction of disease process in patients admitted to intensive care units (ICUs). To use these scoring tools, their predicting power must be initially validated for the target patients. This study was conducted to evaluate the performance of these two scoring systems in an ICU for respiratory diseases in Iran.Material and methodsAll records of patients admitted during a 1-year period were retrospectively reviewed, and the APACHE II and SAPS II scores were calculated accordingly. Information gathering was performed using a questionnaire.ResultsA total of 415 records were used. The mean age of patients was 49.28 ± 0.94 years. Using receiver operating-characteristic curve, cutoff points for 80% sensitivity and specificity of mortality prediction for APACHE and SAPS scores were 13.5 and 27.5, respectively. Calibration and discrimination studies indicated an acceptable status for both scales, but APACHE II scoring system seemed to show rewarding outcomes.ConclusionResults indicate that APACHE II scoring system can be considered as a reliable method for predicting mortality in our referral respiratory ICU.
机译：摘要背景/目的如今，急性生理和慢性健康评估II（APACHE II）和简化急性生理学分数II（SAPS II）评分系统已成为重症监护病房（ICU）病患评估和预测疾病过程的重点。要使用这些评分工具，必须首先针对目标患者验证其预测能力。这项研究旨在评估这两种评分系统在伊朗ICU呼吸系统疾病中的表现。材料和方法回顾性回顾了1年期间入院患者的所有记录，并据此计算了APACHE II和SAPS II评分。使用问卷调查法进行信息收集。结果总共使用了415条记录。患者的平均年龄为49.28±0.94岁。使用接收者工作特征曲线，APACHE和SAPS评分的80％敏感性和死亡率预测特异性的临界点分别为13.5和27.5。校正和辨别研究表明两种量表均可接受，但APACHE II评分系统似乎显示出有益的结果。结论结果表明，APACHE II评分系统可被认为是预测转诊呼吸ICU死亡率的可靠方法。

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