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Optimizing artificial intelligence in sepsis management: Opportunities in the present and looking closely to the future.优化脓毒症管理中的人工智能：当前机遇与展望未来
J Intensive Med. 2023 Nov 29;4(1):34-45. doi: 10.1016/j.jointm.2023.10.001. eCollection 2024 Jan.
2
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.比较急性生理与慢性健康状况评分系统II（APACHE II）和急性生理与慢性健康状况评分系统IV（APACHE IV）作为重症监护病房感染性休克患者死亡率预测指标的研究：一项前瞻性观察性研究。
J Anaesthesiol Clin Pharmacol. 2023 Jul-Sep;39(3):355-359. doi: 10.4103/joacp.joacp_380_21. Epub 2022 Oct 12.
3
Which curve is better? A comparative analysis of trauma scoring systems in a South Asian country.哪种曲线更好？对一个南亚国家创伤评分系统的比较分析。
Trauma Surg Acute Care Open. 2023 Nov 22;8(1):e001171. doi: 10.1136/tsaco-2023-001171. eCollection 2023.
4
Machine Learning-Based Early Prediction of Sepsis Using Electronic Health Records: A Systematic Review.基于机器学习利用电子健康记录对脓毒症进行早期预测：一项系统综述
J Clin Med. 2023 Aug 30;12(17):5658. doi: 10.3390/jcm12175658.
5
Sepsis Prediction Model for Determining Sepsis vs SIRS, qSOFA, and SOFA.用于区分脓毒症与全身炎症反应综合征（qSOFA 和 SOFA）的脓毒症预测模型。
JAMA Netw Open. 2023 Aug 1;6(8):e2329729. doi: 10.1001/jamanetworkopen.2023.29729.
6
Deployment of machine learning algorithms to predict sepsis: systematic review and application of the SALIENT clinical AI implementation framework.部署机器学习算法预测脓毒症：SALIENT 临床人工智能实施框架的系统评价与应用。
J Am Med Inform Assoc. 2023 Jun 20;30(7):1349-1361. doi: 10.1093/jamia/ocad075.
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Validating the APACHE IV score in predicting length of stay in the intensive care unit among patients with sepsis.验证 APACHE IV 评分在预测脓毒症患者 ICU 住院时间中的作用。
Sci Rep. 2023 Apr 11;13(1):5899. doi: 10.1038/s41598-023-33173-4.
8
The role of quick Sepsis-related Organ Failure Assessment score as simple scoring system to predict Fournier gangrene mortality and the correlation with Fournier's Gangrene Severity Index: Analysis of 69 patients.快速脓毒症相关器官功能衰竭评估评分作为预测福尼尔坏疽死亡率的简单评分系统的作用及其与福尼尔坏疽严重程度指数的相关性：69例患者分析
Asian J Urol. 2023 Apr;10(2):201-207. doi: 10.1016/j.ajur.2021.11.003. Epub 2021 Nov 19.
9
Sequential Organ Failure Assessment (SOFA) Score for predicting mortality in patients with sepsis in Vietnamese intensive care units: a multicentre, cross-sectional study.序贯器官衰竭评估（SOFA）评分预测越南重症监护病房脓毒症患者死亡率：一项多中心、横断面研究。
BMJ Open. 2023 Mar 14;13(3):e064870. doi: 10.1136/bmjopen-2022-064870.
10
The Sequential Organ Failure Assessment (SOFA) Score: has the time come for an update?序贯器官衰竭评估 (SOFA) 评分：是否到了更新的时候？
Crit Care. 2023 Jan 13;27(1):15. doi: 10.1186/s13054-022-04290-9.

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.

DOI:10.7759/cureus.54030
PMID:38481909
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10932875/
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。