CAJ | 학술논문

目的：探讨APACHE-Ⅳ危重症评分系统在心血管疾病的应用。方法：计算1005名阜外心血管病医院ICU的心血管重症患者每人的死亡危险性、预测入住ICU时间(LOS)和APACHE-Ⅳ分值，按疾病种类和分值分组，比较各组的实际病死率、预测病死率、APACHE-Ⅳ分值、预测住院时间和实际住院时间。结果：ROC曲线下的面积为0.764。实际病死率随APACHE-Ⅳ分值增加而增加。95%可信区间：冠心病组，瓣膜病组、心肌病组、<30分组、>60分组、有CABG手术史组预测病死率在实际病死率内。预测LOS和实际LOS相关，差异明显。结论：对于预测心血管疾病病死率，APACHE-Ⅳ的价值有限。
목적：탐토APACHE-Ⅳ위중증평분계통재심혈관질병적응용。방법：계산1005명부외심혈관병의원ICU적심혈관중증환자매인적사망위험성、예측입주ICU시간(LOS)화APACHE-Ⅳ분치，안질병충류화분치분조，비교각조적실제병사솔、예측병사솔、APACHE-Ⅳ분치、예측주원시간화실제주원시간。결과：ROC곡선하적면적위0.764。실제병사솔수APACHE-Ⅳ분치증가이증가。95%가신구간：관심병조，판막병조、심기병조、<30분조、>60분조、유CABG수술사조예측병사솔재실제병사솔내。예측LOS화실제LOS상관，차이명현。결론：대우예측심혈관질병병사솔，APACHE-Ⅳ적개치유한。
Objective:To explore the application of APACHE-IV critical illness scoring system in cardiovascular disease. Methods:The calculation of 1005 ICU patients with severe Fuwai Hospital of Cardiovascular Disease cardiovascular death risk of each prediction, ICU stay time (LOS) and the APACHEⅣscore, grouped according to the type of diseases and the actual score, mortality rate, compared to predict mortality rate, APACHE-Ⅳscore, prediction of hospitalization time and the actual time of hospitalization. Results:The area under the ROC curve was 0.764. The actual mortality rate increases with increasing APACHE-Ⅳvalue. 95%conifdence interval:the group of coronary heart disease, valvular heart disease, cardiomyopathy group,<30 group,>60 group, CABG group operation history prediction case fatality rate in the actual mortality rate in. Correlation of calculate LOS and actual LOS, signiifcant difference. Conclusions:For the prediction of cardiovascular disease mortality rate, the value of APACHE-Ⅳis ifnite.