干旱区生态环境知识资源中心(Arid): Comparison of prognosis predictive value of 4 disease severity scoring systems in patients with acute respiratory failure in intensive care unit A STROBE report

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DOI	10.1097/MD.0000000000027380
	Comparison of prognosis predictive value of 4 disease severity scoring systems in patients with acute respiratory failure in intensive care unit A STROBE report
	Huang, Wen-Cheng; Xie, Hong-Jian; Fan, Hong-Tao; Yan, Mei-Hao; Hong, Yuan-Cheng
通讯作者	Hong, YC (corresponding author), 910Th Hosp Peoples Liberat Army, Dept Resp Med, 180 Huayuan Rd, Quanzhou 362000, Fujian, Peoples R China.
来源期刊	MEDICINE
ISSN	0025-7974
EISSN	1536-5964
出版年	2021
卷号	100 期号:39
英文摘要	Various disease severity scoring systems were currently used in critically ill patients with acute respiratory failure, while their performances were not well investigated. The study aimed to investigate the difference in prognosis predictive value of 4 different disease severity scoring systems in patients with acute respiratory failure. With a retrospective cohort study design, adult patients admitted to intensive care unit (ICU) with acute respiratory failure were screened and relevant data were extracted from an open-access American intensive care database to calculate the following disease severity scores on ICU admission: acute physiology score (APS) III, Sequential Organ Failure Assessment score (SOFA), quick SOFA (qSOFA), and Oxford Acute Severity of Illness Score (OASIS). Hospital mortality was chosen as the primary outcome. Multivariable logistic regression analyses were performed to analyze the association of each scoring system with the outcome. Receiver operating characteristic curve analyses were conducted to evaluate the prognosis predictive performance of each scoring system. A total of 4828 patients with acute respiratory failure were enrolled with a hospital mortality rate of 16.78%. APS III (odds ratio [OR] 1.03, 95% confidence interval [CI] 1.02-1.03), SOFA (OR 1.15, 95% CI 1.12-1.18), qSOFA (OR 1.26, 95% CI 1.11-1.42), and OASIS (OR 1.06, 95% CI 1.05-1.08) were all significantly associated with hospital mortality after adjustment for age and comorbidities. Receiver operating characteristic analyses showed that APS III had the highest area under the curve (AUC) (0.703, 95% CI 0.683-0.722), and SOFA and OASIS shared similar predictive performance (area under the curve 0.653 [95% CI 0.631-0.675] and 0.664 [95% CI 0.644-0.685], respectively), while qSOFA had the worst predictive performance for predicting hospital mortality (0.553, 95% CI 0.535-0.572). These results suggested the prognosis predictive value varied among the 4 different disease severity scores for patients admitted to ICU with acute respiratory failure.
英文关键词	APACHE critical care organ dysfunction scores respiratory insufficiency severity of illness index
类型	Article
语种	英语
开放获取类型	Green Published, gold
收录类别	SCI-E
WOS记录号	WOS:000701020600019
WOS关键词	CHRONIC HEALTH EVALUATION ; ACUTE PHYSIOLOGY ; MORTALITY ; APACHE ; SEPSIS ; OUTCOMES ; SOFA
WOS类目	Medicine, General & Internal
WOS研究方向	General & Internal Medicine
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/364154
作者单位	[Huang, Wen-Cheng; Fan, Hong-Tao; Yan, Mei-Hao; Hong, Yuan-Cheng] 910Th Hosp Peoples Liberat Army, Dept Resp Med, 180 Huayuan Rd, Quanzhou 362000, Fujian, Peoples R China; [Xie, Hong-Jian] Quanzhou Guangqian Hosp, Dept Resp Med, Quanzhou, Fujian, Peoples R China
推荐引用方式 GB/T 7714	Huang, Wen-Cheng,Xie, Hong-Jian,Fan, Hong-Tao,et al. Comparison of prognosis predictive value of 4 disease severity scoring systems in patients with acute respiratory failure in intensive care unit A STROBE report[J],2021,100(39).
APA	Huang, Wen-Cheng,Xie, Hong-Jian,Fan, Hong-Tao,Yan, Mei-Hao,&Hong, Yuan-Cheng.(2021).Comparison of prognosis predictive value of 4 disease severity scoring systems in patients with acute respiratory failure in intensive care unit A STROBE report.MEDICINE,100(39).
MLA	Huang, Wen-Cheng,et al."Comparison of prognosis predictive value of 4 disease severity scoring systems in patients with acute respiratory failure in intensive care unit A STROBE report".MEDICINE 100.39(2021).