Dai GuiYing, Wang JunYu, Gao FengLi, Liu WenHong, Li Ping, Wei Bing, Yang Jun
Emergency Medicine Clinical Research Center, Beijing Chao-Yang Hospital, Capital Medical University, & Beijing Key Laboratory of Cardiopulmonary Cerebral Resuscitation, Beijing, People's Republic of China.
Nursing Department, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, People's Republic of China.
Int J Gen Med. 2022 Sep 13;15:7241-7248. doi: 10.2147/IJGM.S379628. eCollection 2022.
To investigate the nursing prediction value of Barthel score, sequential organ failure assessment (SOFA) score and D-dimer on non-ST-elevation myocardial infarction (NSTEMI) inpatients.
The clinical data of 358 NSTEMI patients admitted to the emergency department were analyzed using logistic regression equation and a ROC curve was drawn. The area under ROC curve (AUC) of different indicators was compared. A COX regression model was created, and a survival curve was drawn.
There were significant differences in age, D-dimer, WBC, NT-proBNP, EF (%), BI score, MEWS score, and SOFA score between the 28-day death group and the survival group (< 0.05). The results showed that D-dimer (= 0.002), SOFA score (= 0.017), BI score (< 0.001), and chest pain symptoms (< 0.001) were independent predictors of 28-day death. When chest pain symptoms (AUC = 0.585), D-dimer (AUC = 0.945, = 8.00, < 0.01), BI score (AUC = 0.145, = 5.36, < 0.01), and SOFA score (AUC = 0.847, = 4.93, < 0.01) were compared, the results showed that BI score (HR = 0.961, < 0.01) and SOFA score (HR = 1.316, < 0.001) had statistical significance on the 28-day survival time of the dead patients.
The Barthel score, SOFA score, and D-dimer are all essential in predicting the severity of NSTEMI patients, with a high nursing evaluation value. The Barthel and SOFA scores are associated with the risk of death within 28 days.
探讨Barthel评分、序贯器官衰竭评估(SOFA)评分及D-二聚体对非ST段抬高型心肌梗死(NSTEMI)住院患者的护理预测价值。
采用逻辑回归方程分析358例急诊收治的NSTEMI患者的临床资料,并绘制ROC曲线。比较不同指标的ROC曲线下面积(AUC)。建立COX回归模型并绘制生存曲线。
28天死亡组与生存组在年龄、D-二聚体、白细胞、N末端脑钠肽前体、左心室射血分数(EF%)、Barthel指数(BI)评分、改良早期预警评分(MEWS)及SOFA评分方面存在显著差异(<0.05)。结果显示,D-二聚体(=0.002)、SOFA评分(=0.017)、BI评分(<0.001)及胸痛症状(<0.001)是28天死亡的独立预测因素。比较胸痛症状(AUC=0.585)、D-二聚体(AUC=0.945,=8.00,<0.01)、BI评分(AUC=0.145,=5.36,<0.01)及SOFA评分(AUC=0.847,=4.93,<0.01)时,结果显示,BI评分(HR=0.961,<0.01)及SOFA评分(HR=1.316,<0.001)对死亡患者的28天生存时间具有统计学意义。
Barthel评分、SOFA评分及D-二聚体在预测NSTEMI患者病情严重程度方面均至关重要,具有较高的护理评估价值。Barthel评分和SOFA评分与28天内的死亡风险相关。