快速序贯器官衰竭评估（qSOFA）评分对与热相关的住院患者预后的评估。
Performance of quick sequential organ failure assessment (qSOFA) score for prognosis of heat-related hospitalized patients.
机构信息
Department of Intensive Care Unit, The Second Hospital of Shandong University, Jinan 250033, China.
Department of Respiratory Medicine, The Second Hospital of Shandong University, Jinan 250033, China.
出版信息
Heart Lung. 2020 Jul-Aug;49(4):415-419. doi: 10.1016/j.hrtlng.2020.02.040. Epub 2020 Mar 3.
BACKGROUND
Heat-related illnesses pose significant threats to human health.
OBJECTIVES
(1) To evaluate the use of qSOFA score for prognosis of heat-related hospitalized patients; and (2) identify other predictors for patient prognosis.
METHODS
Using 28-day mortality as the primary endpoint, a retrospective, observational study of patients hospitalized between June 2013 and September 2018 was conducted.
RESULTS
The qSOFA score from 84 patients was identified as an independent predictor of patient prognosis. The area under the receiver operating characteristic curves for qSOFA score was 0.702, and a sensitivity of 100.00% and a specificity of 47.06% were found for qSOFA score greater than or equal to 2. Other predictors included bilirubin, urea nitrogen, and troponin I levels.
CONCLUSIONS
qSOFA score can be used as a parameter to distinguish patients with severe heat-related illness prior to further clinical analyses. In addition to that, multiple organ impairment should be considered when assessing patient prognosis.
背景
与热相关的疾病对人类健康构成重大威胁。
目的
(1)评估 qSOFA 评分用于预测与热相关的住院患者的预后；(2)确定其他预测患者预后的因素。
方法
使用 28 天死亡率作为主要终点，对 2013 年 6 月至 2018 年 9 月住院的患者进行回顾性观察性研究。
结果
确定 84 例患者的 qSOFA 评分可作为患者预后的独立预测因素。qSOFA 评分的受试者工作特征曲线下面积为 0.702，qSOFA 评分大于或等于 2 的灵敏度为 100.00%，特异性为 47.06%。其他预测因素包括胆红素、尿素氮和肌钙蛋白 I 水平。
结论
qSOFA 评分可作为进一步临床分析前区分严重与热相关疾病患者的参数。此外，在评估患者预后时应考虑多个器官损伤。
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