NEWS评分、qSOFA评分、SIRS评分对急诊感染性疾病患者预后评估价值的对比研究

doi:10.3969/j.issn.1004-583X.2018.06.006

临床荟萃

NEWS评分、qSOFA评分、SIRS评分对急诊感染性疾病患者预后评估价值的对比研究

1.河北大学，河北保定 071000；2.河北大学附属医院急诊科，河北保定 071000

出版日期:2018-06-05 发布日期:2018-06-25
通讯作者: 通信作者：梁璐, Email：lianglu1974@163.com

The comparative study of NEWS score, qSOFA score and SIRS score in evaluating prognosis of patiens of infectious diseases in emergency department

1.Hebeiuniversity, Baoding 071000, China；2.Department of Emergency,
Affiliated Hospital of Hebeiuniversity, Baoding 071000, China

Online:2018-06-05 Published:2018-06-25
Contact: Corresponding author：Liang Lu, Email：lianglu1974@163.com

摘要/Abstract

摘要： 目的比较早期预警评分（NEWS）、快速脓毒症相关器官功能障碍评分(qSOFA)和全身炎症反应综合征（SIRS）评分对感染性疾病患者预后的评估价值。方法选择2016年6月至2017年6月就诊于我院急诊的412例感染性疾病患者作为研究对象。收集患者的一般临床资料，记录就诊后生命体征，进行NEWS评分、qSOFA评分和SIRS评分，根据患者28天预后情况分为死亡组和存活组，分析3种评分与患者预后的相关性，应用受试者工作特征曲线（ROC）评估3种评分对预后的评估价值，并进行比较。结果 NEWS评分、qSOFA评分和SIRS评分分值越高，死亡危险越高；NEWS评分、qSOFA评分和SIRS评分的ROC曲下面积分别为0.750、0.792和0.723。结论 NEWS评分、qSOFA评分和SIRS评分对急诊感染性疾病预后评估存在临床价值，且3种评分中qSOFA评分的评估价值最高。

关键词: 感染, 英国国家早期预警评分, 快速脓毒症相关器官功能障碍评分, 全身炎症反应综合征评分

Abstract: Objective To evaluatethe value of national early warning score (NEWS), quick sepsisrelated organ failure assessment (qSOFA) score and systemic inflammatory response syndrome (SIRS) score in predicting the prognosis in patients with infectious diseases of emergency department. Methods A total of 412 patients diagnosed with infectious diseases and treated in the emergency department of our hospital from June 2016 to June 2017 were enrolled in this study.The general clinical data and vital signs of patients were collected; NEWS, qSOFA and SIRS score were counted; the patients were divided into death and survival groups according to the outcomes. The correlation between the 3 scores and the prognosis of the patients were analyzed.The area under the ROC curve was used to evaluate the value of these three scores in predicting prognosis of patients. Results The higher score of NEWS score, qSOFA score and SIRS score, the higher mortality of patients；Area under the ROC curve of NEWS score, qSOFA score and SIRS score were 0.750, 0.792 and 0.723, respectively.Conclusion NEWS score, qSOFA score and SIRS score are useful in evaluating prognosis of patients of infectious diseases in emergency department.Moreover, among the three methods, the qSOFA score is the best one to evaluate the prognosis of infectious diseases.

Key words: infection, national early warning score (NEWS), quick sepsisrelated organ failure assessment (qSOFA) score, systemic inflammatory response syndrome (SIRS) score

王子琪1，刘志强2，祝亭亭1，梁璐2. NEWS评分、qSOFA评分、SIRS评分对急诊感染性疾病患者预后评估价值的对比研究[J]. 临床荟萃, doi: 10.3969/j.issn.1004-583X.2018.06.006.

Wang Ziqi1, Liu Zhiqiang2，Zhu Tingting1，Liang Lu2. The comparative study of NEWS score, qSOFA score and SIRS score in evaluating prognosis of patiens of infectious diseases in emergency department[J]. Clinical Focus, doi: 10.3969/j.issn.1004-583X.2018.06.006.

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链接本文: https://huicui.hebmu.edu.cn/CN/10.3969/j.issn.1004-583X.2018.06.006

https://huicui.hebmu.edu.cn/CN/Y2018/V33/I6/482

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NEWS评分、qSOFA评分、SIRS评分对急诊感染性疾病患者预后评估价值的对比研究

The comparative study of NEWS score, qSOFA score and SIRS score in evaluating prognosis of patiens of infectious diseases in emergency department

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