sPESI与PESI对于非高危急性肺栓塞患者危险分层结果的比较
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论著
医学信息 2019 年 8 月第 32 卷第 16 期
Medical Information Aug. 2019 Vol. 32 No.16
sPESI 与 PESI 对于非高危急性肺栓塞患者
危险分层结果的比较
刘 伟袁徐 平袁黄文彬袁曹灵红
渊自贡市第四人民医院急诊科袁四川 自贡 643000冤
摘要院目的 探究简化肺栓塞严重指数渊sPESI冤与肺栓塞严重指数渊PESI冤对于非高危急性肺栓塞患者危险分层结果是否有差异遥
预测的准确性及对非高危急性肺栓塞危险分层具有高度一致性袁但本研究的纳入例数有限袁有待更多数据研究支持遥
关键词院急性肺栓塞曰肺栓塞严重指数曰危险分层
中图分类号院R563.5
文献标识码院A
DOI:10.3969/j.issn.1006-1959.2019.16.021
文章编号院1006-1959渊2019冤16-0070-03
6.10%遥 PESI尧sPESI 均为预测非高危急性肺栓塞 30 天全因死亡的危险因素遥 两种评分标准 ROC 比较袁差异无统计学意义渊 跃
0.05冤袁两种评分危险分层比较 Kappa 值 0.626渊 约0.05冤遥 结论 sPESI 评分与 PESI 评分对于非高危急性肺栓塞 30 天全因死亡率
方法 回顾性分析 2015 年 1 月~2017 年 12 月自贡市第四人民医院非高危急性肺栓塞患者 164 例的临床资料袁 依照发病 30 天
是否存活分为存活组 154 例袁死亡组 10 例遥 计算 PESI尧sPESI袁评价 PESI 与 sPESI 对于非高危急性肺栓塞患者危险分层结果的
一致性及预测 30 天全因死亡率的准确性遥 结果 纳入研究患者共 164 例袁年龄 23~91 岁袁30 天全因死亡 10 例袁全因死亡率为
Comparison of sPESI and PESI for Risk Stratification in Patients with
Non-high-risk Acute Pulmonary Embolism
LIU Wei,XU Ping,HUANG Wen-bin,CAO Ling-hong (Department of Emergency,the Fourth People's Hospital of Zigong City,Zigong 643000,Sichuan, China) Abstract：Objective To investigate whether the Spiral Embolism Severity Index (sPESI) and Pulmonary Embolism Severity Index (PESI) are different for risk stratification in patients with non-high-risk acute pulmonary embolism.Methods The clinical data of 164 patients with non-high-risk acute pulmonary embolism from the Fourth People's Hospital of Zigong City from January 2015 to December 2017 were retrospectively analyzed. According to the survival of 30 days, 154 cases were in the survival group and 10 cases in the death group. PESI and sPESI were calculated to evaluate the consistency of PESI and sPESI for risk stratification in patients with non-high-risk acute pulmonary embolism and to predict the accuracy of 30-day all-cause mortality.Results A total of 164 patients were enrolled in the study, aged 23-91 years, with 10 deaths due to 30 days, and the all-cause mortality rate was 6.10%. Both PESI and sPESI were risk factors for predicting all-cause mortality in non-high-risk acute pulmonary embolism. There was no statistically significant difference between the two scoring criteria ROC ( >0.05), and the Kappa value of the two scores was 0.626 ( <0.05). Conclusion The score of sPESI and the score of PESI are highly consistent with the accuracy of 30-day all-cause mortality prediction for non-highrisk acute pulmonary embolism and the risk stratification for non-high-risk acute pulmonary embolism. However, the number of included cases in this study is limited and more data are needed to support the research. Key words：Acute pulmonary embolism;Pulmonary embolism severity index;Risk stratification
医学信息 2019 年 8 月第 32 卷第 16 期
Medical Information Aug. 2019 Vol. 32 No.16
sPESI 与 PESI 对于非高危急性肺栓塞患者
危险分层结果的比较
刘 伟袁徐 平袁黄文彬袁曹灵红
渊自贡市第四人民医院急诊科袁四川 自贡 643000冤
摘要院目的 探究简化肺栓塞严重指数渊sPESI冤与肺栓塞严重指数渊PESI冤对于非高危急性肺栓塞患者危险分层结果是否有差异遥
预测的准确性及对非高危急性肺栓塞危险分层具有高度一致性袁但本研究的纳入例数有限袁有待更多数据研究支持遥
关键词院急性肺栓塞曰肺栓塞严重指数曰危险分层
中图分类号院R563.5
文献标识码院A
DOI:10.3969/j.issn.1006-1959.2019.16.021
文章编号院1006-1959渊2019冤16-0070-03
6.10%遥 PESI尧sPESI 均为预测非高危急性肺栓塞 30 天全因死亡的危险因素遥 两种评分标准 ROC 比较袁差异无统计学意义渊 跃
0.05冤袁两种评分危险分层比较 Kappa 值 0.626渊 约0.05冤遥 结论 sPESI 评分与 PESI 评分对于非高危急性肺栓塞 30 天全因死亡率
方法 回顾性分析 2015 年 1 月~2017 年 12 月自贡市第四人民医院非高危急性肺栓塞患者 164 例的临床资料袁 依照发病 30 天
是否存活分为存活组 154 例袁死亡组 10 例遥 计算 PESI尧sPESI袁评价 PESI 与 sPESI 对于非高危急性肺栓塞患者危险分层结果的
一致性及预测 30 天全因死亡率的准确性遥 结果 纳入研究患者共 164 例袁年龄 23~91 岁袁30 天全因死亡 10 例袁全因死亡率为
Comparison of sPESI and PESI for Risk Stratification in Patients with
Non-high-risk Acute Pulmonary Embolism
LIU Wei,XU Ping,HUANG Wen-bin,CAO Ling-hong (Department of Emergency,the Fourth People's Hospital of Zigong City,Zigong 643000,Sichuan, China) Abstract：Objective To investigate whether the Spiral Embolism Severity Index (sPESI) and Pulmonary Embolism Severity Index (PESI) are different for risk stratification in patients with non-high-risk acute pulmonary embolism.Methods The clinical data of 164 patients with non-high-risk acute pulmonary embolism from the Fourth People's Hospital of Zigong City from January 2015 to December 2017 were retrospectively analyzed. According to the survival of 30 days, 154 cases were in the survival group and 10 cases in the death group. PESI and sPESI were calculated to evaluate the consistency of PESI and sPESI for risk stratification in patients with non-high-risk acute pulmonary embolism and to predict the accuracy of 30-day all-cause mortality.Results A total of 164 patients were enrolled in the study, aged 23-91 years, with 10 deaths due to 30 days, and the all-cause mortality rate was 6.10%. Both PESI and sPESI were risk factors for predicting all-cause mortality in non-high-risk acute pulmonary embolism. There was no statistically significant difference between the two scoring criteria ROC ( >0.05), and the Kappa value of the two scores was 0.626 ( <0.05). Conclusion The score of sPESI and the score of PESI are highly consistent with the accuracy of 30-day all-cause mortality prediction for non-highrisk acute pulmonary embolism and the risk stratification for non-high-risk acute pulmonary embolism. However, the number of included cases in this study is limited and more data are needed to support the research. Key words：Acute pulmonary embolism;Pulmonary embolism severity index;Risk stratification
