|
|
|
| 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.
|
|
|
|
|
|
[1] 刘欣艳，拓西平.营养支持对老年慢性阻塞性肺疾病急性加重期患者临床疗效和生活质量的影响[J].中国医药导报，2017，14（32）：104-107.
[2] 李新玲，吴振国，朱颀峰.稳定期慢性阻塞性肺疾病患者的认知功能障碍研究[J].中国医药导报，2014，11（28）：39-42.
[3] 楼燕芳，华锋.系统性健康教育对稳定期慢性阻塞性肺疾病患者生活质量及预后的影响[J].中国医药导报，2014，11（32）：146-150.
[4] 徐非凡.有创和无创正压通气治疗慢性阻塞性肺疾病急性加重期合并呼吸衰竭患者的效果比较[J].中国医药导报，2016，13（8）：128-131.
[5] 王琼娅，乐文卿，余浩.APACHEⅡ评分和CAPS评分在慢性阻塞性肺疾病急性加重期合并呼吸衰竭患者预后评估的应用[J].实用临床医药杂志，2016，20（11）：25-27.
[6] 中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南（2013年修订版）[J].中华结核和呼吸杂志，2013，6（4）：67-80.
[7] 柳涛，蔡柏蔷.一种新型的生活质量评估问卷：慢性阻塞性肺疾病评估测试[J].中国医学科学院学报，2010，32（2）：234-238.
[8] GOLD Executive Committee. Global strategy for the diagnosis，management，and prevention of chronic obstructive pulmonarydisease（Updated 2016）. http：//www. goldcopd.com.
[9] Zhong N，Wang CW，Chen P，et al. Prevalence of chronic obstructive pulmonary disease in China： a large，population-based survey [J]. Am J Respir Crit Care Med，2007， 176（8）：753-760.
[10] 慢性阻塞性肺疾病急性加重（AECOPD）诊治专家组.慢性阻塞性肺疾病急性加重（AECOPD）诊治中国专家共识（2014 年修订版）[J].国际呼吸杂志，2014，34（22）：1681-1691.
[11] 段丽英.慢性阻塞性肺疾病急性加重期辩证治疗的效果及影响评价[J].中国继续医学教育，2018，10（5）：148-149.
[12] 胡萍，程洋，戴丽，等.慢性阻塞性肺疾病急性加重期患者甲状腺功能研究[J].中国全科医学，2018，21（1）：46-51.
[13] 赵宏儒.探讨低分子肝素治疗慢性阻塞性肺疾病急性加重期的临床治疗效果[J].中国实用医药，2018，13（3）：77-79.
[14] Wildman MJ，Harrison DA，Welch CA，et al. A new measure of acute physiological derangement for patients with exacerbations of obstructive airways disease：the COPD and Asthma Physiology Score [J]. Respir Med，2007，101（9）：1994-2002.
[15] 张牧城，汪正光，程金霞，等.慢性阻塞性肺疾病和支气管哮喘生理评分对慢性阻塞性肺疾病急性加重期伴呼吸衰竭患者病情评估的价值研究[J].中华危重病急救医学，2010，22（5）：275-278.
[16] 王琼娅，乐文卿，余浩.APACHEⅡ评分和CAPS评分在慢性阻塞性肺疾病急性加重期合并呼吸衰竭患者预后评估的应用[J].实用临床医药杂志，2016，20（11）：25-27.
[17] 邹叶强，裴文军，王天立.慢性阻塞性肺疾病急性加重期患者对CAT评分敏感性的研究[J].中国现代医药杂志，2016，18（11）：69-70.
[18] 徐林松.布地奈德雾化吸入方式治疗慢性阻塞性肺疾病的CAT评分及肺功能影响[J].中国医学创新，2017， 14（8）：60-63.
[19] 金丹，杨剑，孙怡宁，等.运动锻炼对慢性阻塞性肺疾病患者肺康复的干预效果[J].北京生物医学工程，2017， 36（5）：540-544，549.
[20] 彭翔飞，罗明兴.慢性阻塞性肺疾病急性加重期患者血清维生素D水平与CAT评分、炎症因子的相关性研究[J].中外医学研究，2017，15（27）：74-75.
[21] 王昌明，翁帮琼，魏卿.慢性阻塞性肺疾病评估测试评分对预后的评估意义[J].中华肺部疾病杂志：电子版，2017，10（1）：35-40.
[22] 姜轶飞，杨猛，莫伟强.慢性阻塞性肺疾病评估测试评分对AECOPD患者的临床评估价值[J].中国中西医结合急救杂志，2017，24（2）：174-176.
[23] 苏日娜，李水霞，马显军，等.CAT在COPD急性加重期疗效中的应用[J].包头医学院学报，2015，31（8）：28-29. |
|
|
|
