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DOI | 10.1080/0886022X.2022.2027247 |
The predictive value of the Oxford Acute Severity of Illness Score for clinical outcomes in patients with acute kidney injury | |
Wang, Na; Wang, Meiping; Jiang, Li; Du, Bin; Zhu, Bo; Xi, Xiuming | |
通讯作者 | Xi, XM (corresponding author),Capital Med Univ, Fu Xing Hosp, Dept Crit Care Med, Beijing, Peoples R China. |
来源期刊 | RENAL FAILURE |
ISSN | 0886-022X |
EISSN | 1525-6049 |
出版年 | 2022 |
卷号 | 44期号:1页码:320-328 |
英文摘要 | Objective: To compare the performance of the Oxford Acute Severity of Illness Score (OASIS), the Acute Physiology and Chronic Health Evaluation II (APACHE II) score, the Simplified Acute Physiology Score II (SAPS II), and the Sequential Organ Failure Assessment (SOFA) score in predicting 28-day mortality in acute kidney injury (AKI) patients. Methods: Data were extracted from the Beijing Acute Kidney Injury Trial (BAKIT). A total of 2954 patients with complete clinical data were included in this study. Receiver operating characteristic (ROC) curves were used to analyze and evaluate the predictive effects of the four scoring systems on the 28-day mortality risk of AKI patients and each subgroup. The best cutoff value was identified by the highest combined sensitivity and specificity using Youden's index. Results: Among the four scoring systems, the area under the curve (AUC) of OASIS was the highest. The comparison of AUC values of different scoring systems showed that there were no significant differences among OASIS, APACHE II, and SAPS II, which were better than SOFA. Moreover, logistic analysis revealed that OASIS was an independent risk factor for 28-day mortality in AKI patients. OASIS also had good predictive ability for the 28-day mortality of each subgroup of AKI patients. Conclusion: OASIS, APACHE II, and SAPS II all presented good discrimination and calibration in predicting the 28-day mortality risk of AKI patients. OASIS, APACHE II, and SAPS II had better predictive accuracy than SOFA, but due to the complexity of APACHE II and SAPS II calculations, OASIS is a good substitute. |
英文关键词 | Oxford Acute Severity of Illness Score intensive care unit AKI mortality |
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:000756349700001 |
WOS关键词 | ACUTE PHYSIOLOGY ; SOFA SCORE ; APACHE-II ; MORTALITY ; ICU ; CLASSIFICATION ; MULTICENTER ; DISEASE ; SAPS |
WOS类目 | Urology & Nephrology |
WOS研究方向 | Urology & Nephrology |
资源类型 | 期刊论文 |
条目标识符 | http://119.78.100.177/qdio/handle/2XILL650/376174 |
作者单位 | [Wang, Na] Capital Med Univ, Emergency Dept, China Rehabil Res Ctr, Beijing, Peoples R China; [Wang, Meiping] Capital Med Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, Beijing, Peoples R China; [Jiang, Li] Capital Med Univ, Xuan Wu Hosp, Dept Crit Care Med, Beijing, Peoples R China; [Du, Bin] Peking Union Med Coll Hosp, Peking Union Med Coll, Med Intens Care Unit, Beijing, Peoples R China; [Du, Bin] Chinese Acad Med Sci, Beijing, Peoples R China; [Zhu, Bo; Xi, Xiuming] Capital Med Univ, Fu Xing Hosp, Dept Crit Care Med, Beijing, Peoples R China |
推荐引用方式 GB/T 7714 | Wang, Na,Wang, Meiping,Jiang, Li,et al. The predictive value of the Oxford Acute Severity of Illness Score for clinical outcomes in patients with acute kidney injury[J],2022,44(1):320-328. |
APA | Wang, Na,Wang, Meiping,Jiang, Li,Du, Bin,Zhu, Bo,&Xi, Xiuming.(2022).The predictive value of the Oxford Acute Severity of Illness Score for clinical outcomes in patients with acute kidney injury.RENAL FAILURE,44(1),320-328. |
MLA | Wang, Na,et al."The predictive value of the Oxford Acute Severity of Illness Score for clinical outcomes in patients with acute kidney injury".RENAL FAILURE 44.1(2022):320-328. |
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