肝衰竭评分模型与ICU通用评分法对76例病毒性肝炎乙型慢加急肝衰竭患者院内死亡判别力的比较
肝衰竭;病情评分法;预后,张宇一,王介非,屈莉红,钱志平,通讯作者:,HospitalmortalitypredictionoffourseverityscoringmodelsonhepatitisBa
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张宇一, 王介非, 屈莉红, 钱志平, 复旦大学附属公共卫生中心重症肝炎ICU 上海市 201508
通讯作者: 张宇一, 201508, 上海市金山区漕廊公路2901号, 复旦大学附属公共卫生中心重症肝炎ICU. zhangyuyi@shaphc.org
电话: 021-37990333-3259
收稿日期: 2007-02-05 接受日期: 2007-03-06
Hospital mortality prediction of four severity scoring models on hepatitis B and acute-on-chronic liver failure: an analysis of 76 cases
Yu-Yi Zhang, Jie-Fei Wang, Li-Hong Qu, Zhi-Ping Qian
Yu-Yi Zhang, Jie-Fei Wang, Li-Hong Qu, Zhi-Ping Qian,Severe Hepatitis Department & Intensive Care Unit, Shanghai Public Health Center Affiliated to Fudan University, Shanghai 201508, China
Correspondence to:Yu-Yi Zhang, Severe hepatitis department & Intensive Care Unit, Shanghai Public Health Center Affiliated to Fudan University, Shanghai 201508, China. zhangyuyi@shaphc.org
Received:2007-02-05 Accepted: 2007-03-06
Abstract
AIM: To compare the applicability between liver failure special severity scoring systems and intensive care unit (ICU) general severity scoring systems on predicting the hospital mortality of critical hepatitis B and acute-on-chronic liver failure patients.
METHODS: The data of 76 patients with hepatitis B and acute-on-chronic liver failure were retrospectively analyzed. The patients were divided into dead group (n = 34) and survival group (n = 42). Two liver failure special severity scoring models, MELD and SMSVH, and ICU general severity scoring models, acute physiology and chronic health evaluationⅡ (APACHEⅡ) and APACHEⅢ, were used in the analysis. The receiver operating characteristic (ROC) curves were drawn up to assess the ability of these models in hospital mortality discrimination.
RESULTS: The scores in death group were significantly higher than those in survival group (MELD: 38.19 ± 8.09 vs 24.12 ± 7.16; SMSVH: 5.29 ± 1.36 vs 4.19 ± 1.09; APACHEⅡ: 15.47 ± 4.06 vs 10.79 ± 2.56; APACHEⅢ: 73.50 ± 17.79 vs 60.02 ± 10 ......
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