Efficacy of Various Scoring Systems for Predicting the 28-Day Survival Rate among Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease Requiring Emergency Intensive Care
Joint Authors
Liu, Ping
Feng, Zhihong
Wang, Tao
Chen, Sipeng
Xiao, Han
Xia, Ning
Luo, Zhiming
Wei, Bing
Nie, Xiuhong
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-05-25
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
We aimed to investigate the efficacy of four severity-of-disease scoring systems in predicting the 28-day survival rate among patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) requiring emergency care.
Clinical data of patients with AECOPD who required emergency care were recorded over 2 years.
APACHE II, SAPS II, SOFA, and MEDS scores were calculated from severity-of-disease indicators recorded at admission and compared between patients who died within 28 days of admission (death group; 46 patients) and those who did not (survival group; 336 patients).
Compared to the survival group, the death group had a significantly higher GCS score, frequency of comorbidities including hypertension and heart failure, and age (P<0.05 for all).
With all four systems, scores of age, gender, renal inadequacy, hypertension, coronary heart disease, heart failure, arrhythmia, anemia, fracture leading to bedridden status, tumor, and the GCS were significantly higher in the death group than the survival group.
The prediction efficacy of the APACHE II and SAPS II scores was 88.4%.
The survival rates did not differ significantly between APACHE II and SAPS II (P=1.519).
Our results may guide triage for early identification of critically ill patients with AECOPD in the emergency department.
American Psychological Association (APA)
Feng, Zhihong& Wang, Tao& Liu, Ping& Chen, Sipeng& Xiao, Han& Xia, Ning…[et al.]. 2017. Efficacy of Various Scoring Systems for Predicting the 28-Day Survival Rate among Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease Requiring Emergency Intensive Care. Canadian Respiratory Journal،Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1150806
Modern Language Association (MLA)
Feng, Zhihong…[et al.]. Efficacy of Various Scoring Systems for Predicting the 28-Day Survival Rate among Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease Requiring Emergency Intensive Care. Canadian Respiratory Journal No. 2017 (2017), pp.1-8.
https://search.emarefa.net/detail/BIM-1150806
American Medical Association (AMA)
Feng, Zhihong& Wang, Tao& Liu, Ping& Chen, Sipeng& Xiao, Han& Xia, Ning…[et al.]. Efficacy of Various Scoring Systems for Predicting the 28-Day Survival Rate among Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease Requiring Emergency Intensive Care. Canadian Respiratory Journal. 2017. Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1150806
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1150806