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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 216 - 221 (6page)
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초록· 키워드
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Background: In this study, we analyze the performance of the Acute Physiology and ChronicHealth Evaluation (APACHE) II, APACHE IV, Simplified Acute Physiology Score (SAPS) 3, andMortality Probability Model (MPM)0 III in order to determine which system best implementsdata related to the severity of medical intensive care unit (ICU) patients. Methods: The present study was a retrospective investigation analyzing the discriminationand calibration of APACHE II, APACHE IV, SAPS 3, and MPM0 III when used to evaluate medicalICU patients. Data were collected for 788 patients admitted to the ICU from January 1, 2015to December 31, 2015. All patients were aged 18 years or older with ICU stays of at least24 hours. The discrimination abilities of the three systems were evaluated using c-statistics,while calibration was evaluated by the Hosmer-Lemeshow test. A severity correction modelwas created using logistics regression analysis. Results: For the APACHE IV, SAPS 3, MPM0 III, and APACHE II systems, the area under thereceiver operating characteristic curves was 0.745 for APACHE IV, resulting in the highestdiscrimination among all four scoring systems. The value was 0.729 for APACHE II, 0.700 forSAP 3, and 0.670 for MPM0 III. All severity scoring systems showed good calibrations: APACHEII (chi-square, 12.540; P=0.129), APACHE IV (chi-square, 6.959; P=0.541), SAPS 3 (chi-square,9.290; P=0.318), and MPM0 III (chi-square, 11.128; P=0.133). Conclusions: APACHE IV provided the best discrimination and calibration abilities and wasuseful for quality assessment and predicting mortality in medical ICU patients.
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등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Kwon Y / 2007 / Health care outcome measurement and risk adjustment / J Korean Soc Qual Assur Health Care 13:59~67
Keegan MT / 2012 / Comparison of APACHE III, APACHE IV, SAPS 3, and MPM0III and influence of resuscitation status on model performance / Chest 142:851~858
Knaus WA / 1991 / The APACHE III prognostic system: risk prediction of hospital mortality for critically ill hospitalized adults / Chest 100:1619~1636
이한나 / 2014 / Validation of the APACHE IV model and its comparison with the APACHE II, SAPS 3, and Korean SAPS 3 models for the prediction of hospital mortality in a Korean surgical intensive care unit / Korean Journal of Anesthesiology 67(2):115~122
Pappachan JV / 1999 / Comparison of outcome from intensive care admission after adjustment for case mix by the APACHE III prognostic system / Chest 115:802~810
Keegan MT / 2012 / Comparison of APACHE III, APACHE IV, SAPS 3, and MPM0III and influence of resuscitation status on model performance / Chest 142:851~858
Knaus WA / 1991 / The APACHE III prognostic system: risk prediction of hospital mortality for critically ill hospitalized adults / Chest 100:1619~1636
이한나 / 2014 / Validation of the APACHE IV model and its comparison with the APACHE II, SAPS 3, and Korean SAPS 3 models for the prediction of hospital mortality in a Korean surgical intensive care unit / Korean Journal of Anesthesiology 67(2):115~122
Pappachan JV / 1999 / Comparison of outcome from intensive care admission after adjustment for case mix by the APACHE III prognostic system / Chest 115:802~810
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