在医学重症监护病房中使用全患者精细化诊断相关组（APR-DRG）死亡风险评分作为严重程度调整指标。
Use of the All Patient Refined-Diagnosis Related Group (APR-DRG) Risk of Mortality Score as a Severity Adjustor in the Medical ICU.
作者信息
Baram Daniel, Daroowalla Feroza, Garcia Ruel, Zhang Guangxiang, Chen John J, Healy Erin, Riaz Syed Ali, Richman Paul
机构信息
Division of Pulmonary/Critical Care Medicine.
出版信息
Clin Med Circ Respirat Pulm Med. 2008 Apr 18;2:19-25. doi: 10.4137/ccrpm.s544.
OBJECTIVE
To evaluate the performance of APR-DRG (All Patient Refined-Diagnosis Related Group) Risk of Mortality (ROM) score as a mortality risk adjustor in the intensive care unit (ICU).
DESIGN
Retrospective analysis of hospital mortality.
SETTING
Medical ICU in a university hospital located in metropolitan New York.
PATIENTS
1213 patients admitted between February 2004 and March 2006.
MAIN RESULTS
Mortality rate correlated significantly with increasing APR-DRG ROM scores (p < 0.0001). Multiple logistic regression analysis demonstrated that, after adjusting for patient age and disease group, APR-DRG ROM was significantly associated with mortality risk in patients, with a one unit increase in APR-DRG ROM associated with a 3-fold increase in mortality.
CONCLUSIONS
APR-DRG ROM correlates closely with ICU mortality. Already available for many hospitalized patients around the world, it may provide a readily available means for severity-adjustment when physiologic scoring is not available.
目的
评估急性生理与慢性健康状况评分系统（APR - DRG）死亡风险（ROM）评分作为重症监护病房（ICU）死亡风险校正指标的性能。
设计
对医院死亡率进行回顾性分析。
地点
位于纽约大都市的一所大学医院的内科重症监护病房。
患者
2004年2月至2006年3月期间收治的1213例患者。
主要结果
死亡率与APR - DRG ROM评分升高显著相关（p < 0.0001）。多因素逻辑回归分析表明，在调整患者年龄和疾病组后，APR - DRG ROM与患者死亡风险显著相关，APR - DRG ROM每增加一个单位，死亡风险增加3倍。
结论
APR - DRG ROM与ICU死亡率密切相关。全球许多住院患者都已使用该评分系统，在无法进行生理评分时，它可能提供一种现成的病情严重程度校正方法。
Zotero 插件