지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 935 - 941 (7page)
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초록· 키워드
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Purpose: In recent years, a variety of acute respiratory distress syndrome (ARDS) evaluation systems have been developed worldwide; however, they are not so convenient for the doctors clinically, we decided to establish and evaluate a simplified evaluation system of ARDS (SESARDS). Materials and Methods: Data from 140 ARDS patients (derivation data set) were collected to screen for prognostic factors affecting outcomes in ARDS patients. By logistic regression analysis, scores were allocated to corresponding intervals of the variables, respectively, by means of analysis of the frequency distribution to establish a preliminary scoring system. Based on this primary scoring system, a definitive evaluation scheme was created through consultation with a panel of experts. The scores for the validation data set (92 cases) were assigned and calculated by their predictive mortality with the SESARDS and acute physiology and chronic health evaluation II (APACHE II). The performance of SESARDS was compared with that of APACHE II by means of statistical analysis. Results: The factors of age, pH, Glasgow coma scale (GCS), oxygenation index (OI), and the lobes of lung were associated with prognosis of ARDS respectively. The sensitivity and specificity of SESARDS for the validation data set were 96.43% and 58.33%, respectively. On the AUC, no significant difference between APACHE II and SESARDS was detected. There were no significant differences between the prediction and the actuality obtained by SESARDS for the validation data set the SESARDS scores were positively correlated with the actual mortality. Conclusion: SESARDS was shown to be simple, accurate and effective in predicting ARDS progression.
목차
등록된 정보가 없습니다.
참고문헌 (16)
참고문헌 신청
Bernard GR / 1994 / The American-European Consensus Conference on ARDS. Definitions, mechanisms, relevant outcomes, and clinical trial coordination / Am J Respir Crit Care Me
Brun-Buisson C / 2004 / Epidemiology and outcome of acute lung injury in European intensive care units. Results from the ALIVE study / Intensive Care Med 30 : 51 ~ 61
Doyle RL / 1995 / Identification of patients with acute lung injury. Predictors of mortality / Am J Respir Crit Care Med 152 (6) : 1818 ~ 1824
Gattinoni L / 1998 / Acute respiratory distress syndrome caused by pulmonary and extrapulmonary disease. Different syndromes? / Am J Respir Crit Care Med 158 : 3 ~ 11
Heffner JE / 1995 / Prospective validation of an acute respiratory distress syndrome predictive score / Am J Respir Crit Care Med 152 (5) : 1518 ~ 1526
Brun-Buisson C / 2004 / Epidemiology and outcome of acute lung injury in European intensive care units. Results from the ALIVE study / Intensive Care Med 30 : 51 ~ 61
Doyle RL / 1995 / Identification of patients with acute lung injury. Predictors of mortality / Am J Respir Crit Care Med 152 (6) : 1818 ~ 1824
Gattinoni L / 1998 / Acute respiratory distress syndrome caused by pulmonary and extrapulmonary disease. Different syndromes? / Am J Respir Crit Care Med 158 : 3 ~ 11
Heffner JE / 1995 / Prospective validation of an acute respiratory distress syndrome predictive score / Am J Respir Crit Care Med 152 (5) : 1518 ~ 1526
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