rSIG休克指数对颅脑外伤患者院内死亡的预测价值  

作　　者：潘笑 朱斌 刘宏[1] 

机构地区：[1]浙江省丽水市人民医院,323000

出　　处：《浙江临床医学》2021年第11期1602-1603,共2页Zhejiang Clinical Medical Journal

摘　　要：目的探讨rSIG休克指数在颅脑外伤患者院内死亡预测中的价值方法收集2019年1月至2020年6月颅脑外伤患者316例,根据院内结局分为死亡组及生存组,采用受试者工作特征(ROC)曲线评价rSIG评分预测院内死亡的准确性结果存活组患者的rSIG休克指数明显大于死亡组[22.09(15,76,27.32)VS.8.34(5.84,11.42),P<0.05];ROC曲线显示rSIG的AUC为0.842(95%CI:0.798-0.881,P<0.05),最佳截断点为13.58,灵敏度为0.912、特异度为0.794;根据ROC曲线分析结果,以rSIG 13.58最佳截断值分组,rSIG≤13.58组患者院内死亡率明显高于rSIG>13.58组结论rSIG在颅脑外伤患者院内死亡中具有较高的价值。Objective To investigate the value of the reverse shock index multiplied by glasgow coma scale score(rSIG)to predicting in-hospital death with traumatic brain injury.Methods 316 traumatic brain injury were collected in the dep«irtment of emergency from January 2019 to June 2020,divided into death group and survival group according to the in-hospital outcome.The ROC curve was used to evalu.ate the accuracy of rSIG score in predicting in-hospital death.Results The rSIG of patients in the survival group was significantly higher than that in the death group [22.09(15.76,27.32)VS.8.34(5.84,11.42),P<0.05].The AUC of rSIG was 0.842(95%CI:0.798-0.881,P<0.05),The cutoff point was 13.58,the sensitivity was 0.912,and the specificity was 0.794.According to the ROC curve,the cutoff value of rSIG 13.58 was grouped,and the in-hospital mortality rate of patients with rSIG≤ 13.58 was is significantly higher than that of patients with rSIG>13.58.Conclusion rSIG has a high value in predicting in-hospital death in traumatic brain injury.

关 键 词：rSIG休克指数 急诊科 颅脑外伤患者 院内死亡 

分 类 号：R47[医药卫生—护理学]