APACHEⅡ评分引入MODS评分系统对ICU危重症患者预后的预测价值

doi:10.3969/j.issn.1006-6233.2017.04.012

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Abstract Objective: Predictive value of APACHEII score on prognosis of critically ill patients in ICU and APACHEII scoring system for predicting prognosis of critically ill patients in emergency internal medicine in MODS score.Methods: APACHEII score and MODS score of 300 critically ill patients in emergency internal medicine were calculated and the mortality was calculated.Results: T he use of the number of deaths of APACHEII score and MODS score were higher than the number of people living, the differences were statistically significant (P < 0.05); using the APACHEII score to predict all patients, MODS group and MODS group, APACHEII score increased with the severity of disease, the patients in the MODS group APACHEII the highest score, the difference between groups were statistically significant (P < 0.05). The actual mortality in the study was 26.67%, and the estimated mortality rate was about 30.15%, with no significant difference (P > 0.05). No actual mortality in group MODS was 12.12%, lower than the expected mortality rate of 18.67%, the actual mortality of patients in the MODS group was 75.36%, significantly higher than the expected mortality rate of 46.17%, the difference between the two groups were statistically significant (P < 0.05).Conclusion: APACHEII can predict mortality and risk of disease, but the prediction results for patients with MODS are not very satisfactory. The MODS score is more inclined to the evaluation of organ function. The APACHEII scoring system introduced MODS scoring system, can improve the integrity and accuracy of prediction, which has a good effect for the treatment and monitoring of emergency internal medicine in critically ill patients, can control the disease effectively, reduce disease mortality

Key words： APACHEII score MODS score Emergency Critical illness

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	LI Huizhen
	ZHANG Haiying
	ZHAO Yanling

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LI Huizhen,ZHANG Haiying,ZHAO Yanling. Predictive Value of MODS Scoring System on Prognosis of Critically ill Patients with Department of Critical Care Medicine in APACHEⅡ Score[J]. 河北医学, 2017, 23(4): 568-571.

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2017.04.012 OR http://www.hbyxzzs.cn/EN/Y2017/V23/I4/568

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