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脓毒症管理中评分系统的复杂性剖析:全面综述

Navigating the Complexity of Scoring Systems in Sepsis Management: A Comprehensive Review.

作者信息

Reddy Venkat, Reddy Harshitha, Gemnani Rinkle, Kumar Sunil, Acharya Sourya

机构信息

Department of General Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Feb 11;16(2):e54030. doi: 10.7759/cureus.54030. eCollection 2024 Feb.

Abstract

This comprehensive review navigates the intricate landscape of sepsis scoring systems, aiming to provide healthcare professionals and researchers with a nuanced understanding of their role in contemporary sepsis management. Beginning with a succinct overview of sepsis, the review emphasizes the significance of scoring systems in standardizing assessments and guiding clinical decision-making. Through a detailed analysis of prominent systems such as SOFA, APACHE, and qSOFA, the review delineates their unique attributes, strengths, and limitations. The implications for sepsis management and patient outcomes are discussed, highlighting the potential for these tools to enhance early detection and intervention. The review concludes with a compelling call to action, urging healthcare professionals to integrate scoring systems into routine practice and researchers to explore novel approaches. By synthesizing current knowledge and addressing future directions, this review serves as a valuable resource for those seeking clarity and guidance in the dynamic landscape of sepsis management.

摘要

这篇全面综述梳理了脓毒症评分系统的复杂领域,旨在让医疗保健专业人员和研究人员对其在当代脓毒症管理中的作用有细致入微的理解。综述首先对脓毒症进行了简要概述,强调了评分系统在标准化评估和指导临床决策方面的重要性。通过对序贯器官衰竭评估(SOFA)、急性生理与慢性健康状况评分系统(APACHE)和快速序贯器官衰竭评估(qSOFA)等著名系统的详细分析,综述阐述了它们的独特属性、优势和局限性。讨论了这些评分系统对脓毒症管理和患者预后的影响,突出了这些工具在加强早期检测和干预方面的潜力。综述最后发出了有力的行动呼吁,敦促医疗保健专业人员将评分系统纳入常规实践,并鼓励研究人员探索新方法。通过综合当前知识并探讨未来方向,这篇综述为那些在脓毒症管理的动态领域中寻求清晰认识和指导的人提供了宝贵资源。

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本文引用的文献

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Optimizing artificial intelligence in sepsis management: Opportunities in the present and looking closely to the future.
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Comparison of APACHE II and APACHE IV score as predictors of mortality in patients with septic shock in intensive care unit: A prospective observational study.
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