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[多器官功能衰竭综合征中生命预后量表的有效性:一家儿科重症监护病房的经验]

[Validity of a scale of vital prognosis in multiorgan failure syndrome: experience at a pediatric ICU].

作者信息

González-Morales V, Benítez-Cortázar M, Romero-López C, Papaqui-Tapia S, Pedraza-Pro A

机构信息

Hospital Universitario de Puebla, México.

出版信息

Bol Med Hosp Infant Mex. 1993 Aug;50(8):576-82.

PMID:8357518
Abstract

In order to evaluate the utility of modified score index for multiple organ failure syndrome (MOFS) detection, we studied 31 critically ill pediatric patients at University Hospital of Puebla. They had a critical illness and they were successfully animated and developed two or more organ failure other than initial lesion. Were calculated sensibility, specificity, positive predictive value and negative predictive value of clinical and biochemical criterion of modified score index and results were few consistent. Were assessed that scale for know its predictive value and results were significant: sensitivity 81%, specificity 30% and accuracy, 54.5%. Finally we recommended caution to use anyone score system in evaluating MOFS.

摘要

为了评估改良评分指数在检测多器官功能衰竭综合征(MOFS)中的效用,我们对普埃布拉大学医院的31名危重症儿科患者进行了研究。他们患有危重症,经成功救治后出现了除初始病变外的两个或更多器官功能衰竭。计算了改良评分指数临床和生化标准的敏感性、特异性、阳性预测值和阴性预测值,结果几乎不一致。评估了该量表以了解其预测价值,结果显示:敏感性81%,特异性30%,准确性54.5%。最后,我们建议在评估MOFS时谨慎使用任何评分系统。

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