OASIS评分对ICU老年患者病情的评估和预后判断的价值

doi:10.3969/j.issn.1006-6233.2023.03.017

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Abstract Objective: To explore the use of the Oxford Acute Disease Severity score (OASIS) in the outcome prediction of elderly patients in the intensive care unit (ICU). Methods: In this study, 101 elderly critically ill patients treated in the ICU of our hospital from July 2020 to July 2022 were selected, and the patients were divided into 64 cases in the survival group and 37 cases in the death group according to their prognostic survival at 28 days of hospitalization, and the general clinical data, comorbid diseases, relevant laboratory indices, OASIS score, combined comorbidity score (CCS), Charlson Comorbidity Index (CCI), Acute Physiological and Chronic Health Score (APACHE Ⅱ), logistic regression model was used to analyze the relationship between OASIS score and poor prognostic outcome of patients, and ROC curve was used to analyze the value of the above four scoring methods in predicting unfavourable prognostic outcome of the elderly in ICU. Results: The age of patients in the death group was significantly higher than that in the survival group (P<0.05); there was no significant difference in BMI, sex, smoking, alcohol consumption and surgical operation between the death group and the survival group (P>0.05); the ALT, AST, WBC, Hb, NLR, BUN, Scr, blood sugar, PaO₂ and PaCO₂ of the dead group were higher than those of the survival group, while the ALB and pH values of the dead group were lower than those of the survival group, the difference was statistically significant (P<0.05); there was no significant difference in the blood sodium level between the death group and the survival group (P>0.05); the OASIS score, CCS score, CCI score and APACHE Ⅱ score of patients in the death group were higher than those in the survival group, and the difference was statistically significant (P<0.05); logistic regression model showed that age, OASIS score, CCS score, CCI score, APACHE II score, NLR, Scr, pH, PaO₂, PaCO₂ and ALB were independent risk factors for death of elderly ICU patients (P<0.05); the AUC values of the area under the curve of OASIS score, CCS score, CCI score and APACHE Ⅱ score predicting the death of elderly ICU patients were 0.870, 0.764, 0.747 and 0.745, respectively. Conclusion: OASIS score is closely related to the death of elderly patients in ICU after treatment, and has high clinical value in the judgment of patients' condition and prognosis.

Key words： Oxford acute illness severity score Intensive care unit Elderly Prognosis

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2023.03.017 OR http://www.hbyxzzs.cn/EN/Y2023/V29/I3/436

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