Comparison of four score modes in prognosis assessment of AECOPD patients with respiratory failure / 实用医学杂志

ABSTRACT

Objective To explore the predictive effect of modified DECAF,DECAF,CAPS and APACHEⅡin the assessment of prognosis of AECOPD patients with respiratory failure. Methods Clinical data of 186 AECOPD cases complicated with respiratory failure were analyzed and four score modes were used within 24 hours of admission. Clinical endpoints were patients′ survival status 28 days after admission. The discriminative power of the four score modes was evaluated by the area under the receiver operating characteristic curve (AUC). Results AUC of the modified DECAF(0.777,95%CI0.710-0.835) and DECAF (0.766,95%CI0.699-0.825) for prognosis was significantly greater than that of CAPS(0.699 ,95%0.628-0.764) and APACHEⅡ(0.715,95%0.645-0.779). Conclusion The modified DECAF and DECAF have predictive values on assessing the prognosis of AECOPD patients with respiratory failure ,which are simple and efficient.