欧洲心脏手术风险评估系统在冠心病患者经皮冠状动脉介入治疗后院内病死率评估中的应用  

Study on the efficiency of the European System for Cardiac Operative Risk Evaluation （EuroSCORE）in predicting in-hospital mortality of the patients with percutaneous coronary intervention

作　　者：徐璟[1,2] 张芙荣[1] 朱建华[1] 邱原刚[1] 陈君柱[1] 郭晓纲[1] 宣天明[1] 赵莉莉[1] 尚云鹏[1] 

机构地区：[1]浙江大学医学院附属第一医院心内科,杭州310016 [2]浙江省青春医院,杭州310003

出　　处：《中华流行病学杂志》2010年第10期1170-1173,共4页Chinese Journal of Epidemiology

摘　　要：目的 探讨欧洲心脏手术风险评估系统（EuroSCORE）对冠心病患者经皮冠状动脉介入（PCI）治疗后院内病死率评估的价值.方法 回顾分析2005-2007年在浙江大学医学院附属第一医院介入中心进行PCI治疗的1091例患者,用EuroSCORE评分系统对每名病例进行累积EuroSCORE评分及logistic EuroSCORE评分方法预测其院内病死率,比较实际死亡率与预测死亡率的相关性,分析EuroSCORE评分及各危险因素与院内病死率的相关性.结果 根据EuroSCORE评分值分组,其中EuroSCORE累计评分0～2分为低危组,3～5分为中危组,≥6分为高危组,3组病例实际死亡率分别为0%、0.47%和6.09%,与EuroSCORE累积分值明显相关（P〈0.001）.多因素回归分析显示EuroSCORE评分值（P〈0.01）与PCI患者院内病死率呈正相关.结论 EuroSCORE评分系统在PCI患者院内病死率评估中有一定的应用价值.Objective To investigate the efficiency of European System for Cardiac Operative Risk Evaluation（EuroSCORE）in predicting in-hospital mortality for the patients after percutaneous coronary intervention（PCI）. Methods Retrospective analysis was conducted on the patients who had undergone PCI in our hospital since year 2005 to 2007. We used both cumulative EuroSCORE score and logistic EuroSCORE to predict the in-hospital morality and to analyze the correlation between the predicted mortality and the actual mortality. Results According to the additive EuroSCORE, we divided the patients into three groups, the additive EuroSCORE 0-2 were divided into low-risk group,3-5 were divided into mid-risk group and ≥6 into high-risk group.The actual in-hospital mortality rates were 0%, 0.47% and 6.09% respectively. The EuroSCORE model demonstrated an overall relation between the EuroSCORE ranking and the incidence of in-hospital mortality（P〈0.001）. Results from the multivariable logistic regression analysis showed that the EuroSCORE was an independent in-hospital mortality predictor（P〈0.01）. Conclusion The EuroSCORE risk model and the in-hospital mortality were significantly correlated, indicating that the model was a promising method for predicting the in-hospital mortality of PCI patients.

关 键 词：欧洲心脏手术风险评估系统 经皮冠状动脉介入治疗 院内病死率 

分 类 号：R541.4[医药卫生—心血管疾病]