Comparation of disease assessment and prediction efficacy of CAT scoring system and CAPS scoring system in patients with AECOPD
Hadiya·aierke Dilinuer·wupusu YAN Fang Muyeshaer·pidayi HE Yuanbing▲
The First Ward of Respiratory and Respiratory Crisis Center, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830054, China
Abstract:Objective To compare the disease assessment and prediction efficacy of CAT (chronic obstructive pulmonary disease assessment test) score system and CAPS (the chronic obstructive pulmonary disease and asthma physiology score) system on patients with AECOPD (acute exacerbation of chronic obstructive pulmonary disease). Methods Prospective analysis was adopted, 117 patients with AECOPD from a first-class hospital in Urumqi were received from July 2014 to August 2017 were selected, 105 cases were survived and 12 cases were died. All patients were evaluated by CAT score and CAPS, and statistical SPSS and MedCalc software were used to analyze these evaluation index, and the ROC curve analysis. Results The sensitivity of CAT score was 88.12%, specificity was 75.53%, positive likelihood ratio was 3.89, negative likelihood ratio was 0.11, Youden index was 0.698; the sensitivity of CAPS score was 74.32%, specificity was 63.57%, positive likelihood ratio was 2.15, negative likelihood ratio was 0.31, Youden index was 0.439; there was statistically significant difference in the CAT and CAPS score between death and survival patients (P < 0.05). The area under the curve (AUC) of CAT score was 0.648, the AUC of CAPS score was 0.680, and the comparison of the AUC of two scores was statistically significant (P < 0.05). Conclusion Compared with the CAPS score, CAT score can be used to evaluate the patients with AECOPD in a rapider, more specific and more efficient disease assessment method, which has a good predictive value and guiding significance.
海迪娅·艾尔肯 迪丽努尔·乌甫尔 闫芳 木叶沙尔·皮达义 何元兵▲. CAT和CAPS评分系统对AECOPD患者病情评估与预测效能的比较[J]. 中国医药导报, 2018, 15(31): 151-154.
Hadiya·aierke Dilinuer·wupusu YAN Fang Muyeshaer·pidayi HE Yuanbing▲. Comparation of disease assessment and prediction efficacy of CAT scoring system and CAPS scoring system in patients with AECOPD. 中国医药导报, 2018, 15(31): 151-154.