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[急性生理与慢性健康状况评分系统II和III在75岁以上患者预后评估中的效能]

[Efficiency of APACHE II and III scoring system in the prognostication of patients older than 75 years].

作者信息

Zhou Guo-peng, Song Yi-xin, Zhao Zhi-jie

机构信息

Geriatric Intensive Care Unit, the First Hospital, Peking University, Beijing 100034, China.

出版信息

Zhonghua Nei Ke Za Zhi. 2005 Apr;44(4):251-3.

PMID:15924633
Abstract

OBJECTIVE

To observe the efficiency of both the APACHE II/III scoring systems in predicting the prognosis of patients older than 75 years.

METHODS

We calculated both the APACHE II and III scores in patients older than 75 years who were admitted to the geriatric intensive care unit (GICU) of our hospital in a duration of 6 months. The scores and predicting death rates were compared with the actual death rates.

RESULTS

There was definite correlation between the APACHE II/III scores and the actual death rates. Sensitivity of the APACHE II/III systems are 66.7% and 41.7% respectively. Specificity of the APACHE II/III systems are 90.9% and 100% respectively.

CONCLUSIONS

Both the APACHE II/III systems can do well in predicting the prognosis of ICU patients older than 75 years, but APACHE III tends to underestimate the hospital death rate of elderly patients.

摘要

目的

观察急性生理与慢性健康状况评分系统（APACHE）II/III在预测75岁以上患者预后方面的效能。

方法

我们计算了我院老年重症监护病房（GICU）在6个月期间收治的75岁以上患者的APACHE II和III评分。将这些评分及预测死亡率与实际死亡率进行比较。

结果

APACHE II/III评分与实际死亡率之间存在一定相关性。APACHE II/III系统的敏感度分别为66.7%和41.7%。APACHE II/III系统的特异度分别为90.9%和100%。

结论

APACHE II/III系统在预测75岁以上ICU患者的预后方面均表现良好，但APACHE III往往低估老年患者的院内死亡率。

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