Kunitoh H, Nagatomo A, Okamoto H, Watanabe K, Sajima Y
Department of Respiratory Medicine, Yokohama Municipal Citizen's Hospital, Yokohama City, Kanagawa, Japan.
J Asthma. 1996;33(2):105-12. doi: 10.3109/02770909609054538.
Historical data, physical findings, pulmonary function, arterial blood gases, and subjective degree of dyspnea rated on a modified Borg scale were correlated with eventual requirement of hospitalization in 83 episodes of acute asthma attacks of 70 adult patients. Among the pretreatment data, only pulse rate remained significant by a multivariate analysis to predict hospitalization. For patients who had apparently been successfully treated in the emergency room and discharged home, residual degree of subjective dyspnea was the only significant variable chosen by a linear discriminant function to predict the eventual need for hospitalization, with a sensitivity of 75% and a specificity of 78%. We concluded that careful clinical evaluation still remains the best available diagnostic tool in the care of acute asthma.
对70例成年患者的83次急性哮喘发作进行了研究，将历史数据、体格检查结果、肺功能、动脉血气以及采用改良Borg量表评定的主观呼吸困难程度与最终住院需求进行关联分析。在预处理数据中，经多变量分析，仅脉率对预测住院具有显著意义。对于那些在急诊室看似已成功治疗并出院回家的患者，主观呼吸困难残留程度是线性判别函数选出的唯一对预测最终住院需求具有显著意义的变量，其敏感性为75%，特异性为78%。我们得出结论，在急性哮喘的护理中，仔细的临床评估仍然是现有的最佳诊断工具。
