中国医药
中國醫藥
중국의약
CHINA MEDICINE
2015年
5期
633-635
,共3页
重症社区获得性肺炎%SMART-COP评分%诊断
重癥社區穫得性肺炎%SMART-COP評分%診斷
중증사구획득성폐염%SMART-COP평분%진단
Severe community-acquired Pneumonia%SMART-COP score%Diagnosis
目的 探讨SMART-COP评分对重症社区获得性肺炎(SCAP)的诊断价值.方法 回顾性分析2011年1月至2013年12月成都市第二人民医院社区获得性肺炎(CAP)患者180例,其中SCAP 90例,普通CAP90例,对2组进行SMART-COP评分,以美国胸科学会/美国感染病学会2007年SCAP诊断标准作为金标准绘制SMART-COP评分诊断SCAP的受试者工作特征曲线,获得SMART-COP评分诊断SCAP界值及相应的敏感度、特异度、阳性似然比、阴性似然比和Youden指数.结果 以4分为界值,SMART-COP评分诊断SCAP的效能最高,其敏感度为78.9％,特异度为80.0％,准确率为79.4％,阳性似然比为3.944,阴性似然比为0.264,Youden指数为0.589.结论 根据SMART-COP评分诊断重症肺炎敏感度及特异度均较好,最佳临界值为4分.
目的 探討SMART-COP評分對重癥社區穫得性肺炎(SCAP)的診斷價值.方法 迴顧性分析2011年1月至2013年12月成都市第二人民醫院社區穫得性肺炎(CAP)患者180例,其中SCAP 90例,普通CAP90例,對2組進行SMART-COP評分,以美國胸科學會/美國感染病學會2007年SCAP診斷標準作為金標準繪製SMART-COP評分診斷SCAP的受試者工作特徵麯線,穫得SMART-COP評分診斷SCAP界值及相應的敏感度、特異度、暘性似然比、陰性似然比和Youden指數.結果 以4分為界值,SMART-COP評分診斷SCAP的效能最高,其敏感度為78.9％,特異度為80.0％,準確率為79.4％,暘性似然比為3.944,陰性似然比為0.264,Youden指數為0.589.結論 根據SMART-COP評分診斷重癥肺炎敏感度及特異度均較好,最佳臨界值為4分.
목적 탐토SMART-COP평분대중증사구획득성폐염(SCAP)적진단개치.방법 회고성분석2011년1월지2013년12월성도시제이인민의원사구획득성폐염(CAP)환자180례,기중SCAP 90례,보통CAP90례,대2조진행SMART-COP평분,이미국흉과학회/미국감염병학회2007년SCAP진단표준작위금표준회제SMART-COP평분진단SCAP적수시자공작특정곡선,획득SMART-COP평분진단SCAP계치급상응적민감도、특이도、양성사연비、음성사연비화Youden지수.결과 이4분위계치,SMART-COP평분진단SCAP적효능최고,기민감도위78.9％,특이도위80.0％,준학솔위79.4％,양성사연비위3.944,음성사연비위0.264,Youden지수위0.589.결론 근거SMART-COP평분진단중증폐염민감도급특이도균교호,최가림계치위4분.
Objective To explore the value of SMART-COP score in diagnosis of severe communityacquired pneumonia patients (SCAP).Methods Totally 180 patients of community-acquired pneumonia (CAP),including 90 cases of SCAP and 90 cases of common CAP,were retrospectively analyzed.The SMART-COP score was assessed.The receiver operating characteristic (ROC) curve of SMART-COP score in diagnosing SCAP was drawn by taking the standard of American Thoracic Society/Infectious Diseases Society of America statement as gold standard,and the sensitivity,specificity,positive likelihood ratio,negative likelihood ratio,diagnostic odds ratio and Youden index were obtained.Results Taking 4 scores as cut-off value,the value of SMART-COP in diagnosing SCAP was high,with sensitivity of 78.9％,specificity of 80.0％,positive likelihood ratio of 3.944,negative likelihood ratio of 0.264 and Youden index of 0.589.Conclusion The sensitivity and specificity of SMART-COP score in diagnosing SCAP is high with cut-off value of 4.
