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
- 2017.8
- 수록면
- 275 - 283 (9page)
이용수
초록· 키워드
오류제보하기
Background: The Acute Physiology and Chronic Health Evaluation (APACHE) II model has been widely used in Korea. However, there have been few studies on the APACHE IV model in Korean intensive care units (ICUs). The aim of this study was to compare the ability of APACHE IV and APACHE II in predicting hospital mortality, and to investigate the ability of APACHE IV as a critical care triage criterion.
Methods: The study was designed as a prospective cohort study. Measurements of discrimination and calibration were performed using the area under the receiver operating characteristic curve (AUROC) and the Hosmer-Lemeshow goodness-of-fit test respectively.
We also calculated the standardized mortality ratio (SMR).
Results: The APACHE IV score, the Charlson Comorbidity index (CCI) score, acute respiratory distress syndrome, and unplanned ICU admissions were independently associated with hospital mortality. The calibration, discrimination, and SMR of APACHE IV were good (H = 7.67, P = 0.465; C = 3.42, P = 0.905; AUROC = 0.759; SMR = 1.00). However, the explanatory power of an APACHE IV score >93 alone on hospital mortality was low at 44.1%. The explanatory power was increased to 53.8% when the hospital mortality was predicted using a model that considers APACHE IV >93 scores, medical admission, and risk factors for CCI >3 coincidentally. However, the discriminative ability of the prediction model was unsatisfactory (C index <0.70).
Conclusions: The APACHE IV presented good discrimination, calibration, and SMR for hospital mortality.
목차
등록된 정보가 없습니다.
참고문헌 (36)
참고문헌 신청
Knaus WA / 1985 / APACHE II: a severity of disease classification system / Crit Care Med 13:818~829
Strand K / 2008 / Severity scoring in the ICU: a review / Acta Anaesthesiol Scand 52:467~478
Moreno RP / 2005 / SAPS 3: from evaluation of the patient to evaluation of the intensive care unit. Part 2: development of a prognostic model for hospital mortality at ICU admission / Intensive Care Med 31:1345~1355
Lemeshow S / 1985 / A method for predicting survival and mortality of ICU patients using objectively derived weights / Crit Care Med 13:519~525
Caldeira VM / 2010 / Criteria for patient admission to an intensive care unit and related mortality rates / Rev Assoc Med Bras (1992) 56:528~534
Strand K / 2008 / Severity scoring in the ICU: a review / Acta Anaesthesiol Scand 52:467~478
Moreno RP / 2005 / SAPS 3: from evaluation of the patient to evaluation of the intensive care unit. Part 2: development of a prognostic model for hospital mortality at ICU admission / Intensive Care Med 31:1345~1355
Lemeshow S / 1985 / A method for predicting survival and mortality of ICU patients using objectively derived weights / Crit Care Med 13:519~525
Caldeira VM / 2010 / Criteria for patient admission to an intensive care unit and related mortality rates / Rev Assoc Med Bras (1992) 56:528~534
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