[1]刘 伟,徐 平,黄文彬,等.sPESI与PESI对于非高危急性肺栓塞患者 危险分层结果的比较[J].医学信息,2019,32(16):70-72.[doi:10.3969/j.issn.1006-1959.2019.16.021]
　LIU Wei,XU Ping,HUANG Wen-bin,et al.Comparison of sPESI and PESI for Risk Stratification in Patients with Non-high-risk Acute Pulmonary Embolism[J].Journal of Medical Information,2019,32(16):70-72.[doi:10.3969/j.issn.1006-1959.2019.16.021]
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sPESI与PESI对于非高危急性肺栓塞患者 危险分层结果的比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年16期
页码:
70-72
栏目:
论著
出版日期:
2019-08-15

文章信息/Info

Title:
Comparison of sPESI and PESI for Risk Stratification in Patients with Non-high-risk Acute Pulmonary Embolism
文章编号:
1006-1959（2019）16-0070-03
作者:
刘 伟; 徐 平; 黄文彬; 曹灵红
自贡市第四人民医院急诊科，四川 自贡 643000
Author(s):
LIU Wei; XU Ping; HUANG Wen-bin; CAO Ling-hong
Department of Emergency,the Fourth People's Hospital of Zigong City,Zigong 643000,Sichuan, China
关键词:
急性肺栓塞; 肺栓塞严重指数; 危险分层
Keywords:
Key words：Acute pulmonary embolism; Pulmonary embolism severity index; Risk stratification
分类号:
R563.5
DOI:
10.3969/j.issn.1006-1959.2019.16.021
文献标志码:
A
摘要:
目的 探究简化肺栓塞严重指数（sPESI）与肺栓塞严重指数（PESI）对于非高危急性肺栓塞患者危险分层结果是否有差异。方法 回顾性分析2015年1月~2017年12月自贡市第四人民医院非高危急性肺栓塞患者164例的临床资料，依照发病30天是否存活分为存活组154例，死亡组10例。计算PESI、sPESI，评价PESI与sPESI对于非高危急性肺栓塞患者危险分层结果的一致性及预测30天全因死亡率的准确性。结果 纳入研究患者共164例，年龄23~91岁，30天全因死亡10例，全因死亡率为6.10%。PESI、sPESI均为预测非高危急性肺栓塞30天全因死亡的危险因素。两种评分标准ROC比较，差异无统计学意义（P＞0.05），两种评分危险分层比较Kappa值0.626（P＜0.05）。结论 sPESI评分与PESI评分对于非高危急性肺栓塞30天全因死亡率预测的准确性及对非高危急性肺栓塞危险分层具有高度一致性，但本研究的纳入例数有限，有待更多数据研究支持。
Abstract:
Abstract：Objective To investigate whether the Spiral Embolism Severity Index (sPESI) and Pulmonary Embolism Severity Index (PESI) are different for risk stratification in patients with non-high-risk acute pulmonary embolism.Methods The clinical data of 164 patients with non-high-risk acute pulmonary embolism from the Fourth People's Hospital of Zigong City from January 2015 to December 2017 were retrospectively analyzed. According to the survival of 30 days, 154 cases were in the survival group and 10 cases in the death group. PESI and sPESI were calculated to evaluate the consistency of PESI and sPESI for risk stratification in patients with non-high-risk acute pulmonary embolism and to predict the accuracy of 30-day all-cause mortality.Results A total of 164 patients were enrolled in the study, aged 23-91 years, with 10 deaths due to 30 days, and the all-cause mortality rate was 6.10%. Both PESI and sPESI were risk factors for predicting all-cause mortality in non-high-risk acute pulmonary embolism. There was no statistically significant difference between the two scoring criteria ROC(P>0.05), and the Kappa value of the two scores was 0.626 (P<0.05). Conclusion The score of sPESI and the score of PESI are highly consistent with the accuracy of 30-day all-cause mortality prediction for non-high-risk acute pulmonary embolism and the risk stratification for non-high-risk acute pulmonary embolism. However, the number of included cases in this study is limited and more data are needed to support the research.

参考文献/References:

[1]Doherty S.Pulmonary embolism An update[J].Aust Fam Physician,2017,46(11):816-820. [2]Chodakowski JD,Courtney DM.Pulmonary embolism critical care update:prognosis,treatment,and research gaps[J].Curr Opin Crit Care,2018,24(6):540-546. [3]Turetz M,Sideris A,Friedman O,et al.Epidemiology,Pathophysiology,and Natural History of Pulmonary Embolism[J].Semin Intervent Radiol,2018,35(2):92-98. [4]Konstantinides SV,Torbicki A,Agnelli G,et al.2014 ESC guidelines on the diagnosis and management of acute pulmonary embolism[J].Eur Heart J,2014,35(43):3033-3069, 3069a-3069k. [5]Konstantinides SV,Barco S,Lankeit M,et al.Management of Pulmonary Embolism:An Update[J]. J Am Coll Cardiol,2016,67(8):976-990. [6]Masotti L,Panigada G,Landini G,et al.Simplified PESI score and sex difference in prognosis of acute pulmonary embolism:a brief report from a real life study[J].J Thromb Thrombolysis, 2016,41(4):606-612. [7]Vinson DR,Ballard DW,Mark DG,et al.Risk stratifying emergency department patients with acute pulmonary embolism:Does the simplified Pulmonary Embolism Severity Index perform as well as the original[J].Thromb Res,2016(148):1-8. [8]Polo Friz H,Corno V,Orenti A,et al.Comorbidity assessment as predictor of short and long-term mortality in elderly patients with hemodynamically stable acute pulmonary embolism[J].J Thromb Thrombolysis,2017,44(3):316-323. [9]Aujesky D,Obrosky DS,Stone RA,et al.Derivation and Validation of a Prognostic Model for Pulmonary Embolism[J].Am J Respir Crit Care Med,2005,172(8):1041. [10]Zhou X,Ben S,Chen H,et al.The prognostic value of pulmonary embolism severity index in acute pulmonary embolism:a meta-analysis[J].Respir Res,2012(13):111.

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更新日期/Last Update: 2019-08-15