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.
초록· 키워드
오류제보하기
Objectives : To evaluate the predictive validity of three scoring systems; the acute physiology and chronic health evaluation(APACHE) III, simplified acute physiology
score(SAPS) II, and mortality probability model(MPM) II systems in critically ill patients.
Methods : A concurrent and retrospective study conducted by collecting data on consecutive patients admitted to the intensive care unit(ICU) including surgical,
medical and coronary care unit between January 1, 2004, and March 31, 2004. Data were collected on 348 patients consecutively admitted to the ICU(aged 16 years or older, no transfer, ICU stay at least 8 hours). Three models were analyzed using logistic regression. Discrimination was assessed using receiver operating characteristic(ROC) curves, sensitivity, specificity, and correct classification rate. Calibration was assessed using the Lemeshow- Hosmer goodness of fit H-statistic.
Results : For the APACHE III, SAPS II and MPM II systems, the area under the receiver operating characterist ic(ROC) curves were 0.981, 0.978, and 0.941 respectively. With a predicted risk of 0.5, the sensitivities for the APACHE III, SAPS II, and MPM II systems were 81.1, 79.2 and 71.7%, the specificities 98.3, 98.6, and 98.3%, and the correct classification rates 95.7, 95.7, and 94.3%, respectively. The SAPS II and APACHE III systems showed good calibrations(chi-squared H=2.5838 p=0.9577 for SAPS II, and chi-squared H=4.3761 p=0.8217 for APACHE III).
Conclusions : The APACHE III and SAPS II systems have excellent powers of mortality prediction, and calibration, and can be useful tools for the quality assessment of
intensive care units(ICUs).
목차
등록된 정보가 없습니다.
참고문헌 (30)
참고문헌 신청
/ / A severity of diseaseclassification system : 818 ~ 829
/ 1976-1982 / Ratingthe quality of intensive care units Is it afunction of the intensive care unit scoringsystem 30 (9) : 1976 ~ 1982
/ 1979 / Survival ofpatients ventilated in an intensive therapy unit 285 : 1525 ~
/ 1981 / APACHE-acute physiology and chronic healthevaluation:A physiologically based classification system 9 : 591 ~ 597
/ 1984 / A simplified acute physiology scorefor ICU patients 12 : 975 ~ 977
/ 1976-1982 / Ratingthe quality of intensive care units Is it afunction of the intensive care unit scoringsystem 30 (9) : 1976 ~ 1982
/ 1979 / Survival ofpatients ventilated in an intensive therapy unit 285 : 1525 ~
/ 1981 / APACHE-acute physiology and chronic healthevaluation:A physiologically based classification system 9 : 591 ~ 597
/ 1984 / A simplified acute physiology scorefor ICU patients 12 : 975 ~ 977
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