Intensive Care Unit, The First People's Hospital of Chongqing Liang Jiang New Area, Chongqing, 401120, China.
Intensive Care Unit, The First People's Hospital of Chongqing Liang Jiang New Area, Chongqing, 401120, China.
Microb Pathog. 2021 Jan;150:104706. doi: 10.1016/j.micpath.2020.104706. Epub 2020 Dec 24.
To explore the applicability of MuLBSTA Score in COVID-19 patients, a retrospective analysis was performed on 330 cases of COVID-19 patients in Southeast Hospital of Xiaogan City, Hubei Province. The clinical characteristics of COVID-19 patients were described and multilobe infiltrate in CT, bacterial infection, lymphocyte count, smoke in history, history of hypertension, and age distribution in the population of mild and severe patients were analyzed. All included patients were scored according to the MuLBSTA early warning scoring system and its efficacy in early warning of severe symptoms was analyzed. CT feature of infiltration changes on multiple lobes, the absolute value of lymphocyte count of less than 0.8 × 10, accompanied by bacterial infection, history of smoking, history of hypertension, and an age of greater than 60 years old were all statistically significant factors in patients with severe COVID-19. ROC curve analysis indicated that the sensitivity, specificity and accuracy of the early warning system were 0.651, 0.954 and 0.93, respectively. The MuLBSTA Score has a good early warning effect on severe COVID-19 patients.
为了探索 MuLBSTA 评分在 COVID-19 患者中的适用性，对湖北省孝感市东南医院的 330 例 COVID-19 患者进行了回顾性分析。描述了 COVID-19 患者的临床特征，并分析了 CT 多叶浸润、细菌感染、淋巴细胞计数、吸烟史、高血压史和轻、重症患者人群中的年龄分布。根据 MuLBSTA 预警评分系统对所有纳入患者进行评分，并分析其对重症症状的预警效果。多叶浸润 CT 特征、淋巴细胞计数绝对值<0.8×10、伴细菌感染、吸烟史、高血压史和年龄大于 60 岁均为重症 COVID-19 患者的统计学显著因素。ROC 曲线分析表明，预警系统的敏感性、特异性和准确性分别为 0.651、0.954 和 0.93。MuLBSTA 评分对重症 COVID-19 患者具有良好的预警效果。
