지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 932 - 938 (7page)
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초록· 키워드
오류제보하기
Recently, several prognostic scoring systems for patients with severe acute respiratory distress syndrome (ARDS) requiring extracorporeal membrane oxygenation (ECMO) have been published. The aim of this study was to validate the established scoring systems for outcome prediction in Korean patients. We retrospectively reviewed the data of 50 patients on ECMO therapy in our center from 2012 to 2014. A calculation of outcome prediction scoring tools was performed and the comparison across various models was conducted. In our study, the overall hospital survival was 46% and successful weaning rate was 58%. The Predicting Death for Severe ARDS on V-V ECMO (PRESERVE) score showed good discrimination of mortality prediction for patients on ECMO with AUC of 0.80 (95% CI 0.66-0.90). The respiratory extracorporeal membrane oxygenation survival prediction (RESP) score and simplified acute physiology score (SAPS) II score also showed fair prediction ability with AUC of 0.79 (95% CI 0.65-0.89) and AUC of 0.78 (95% CI 0.64- 0.88), respectively. However, the ECMOnet score failed to predict mortality with AUC of 0.51 (95% CI 0.37-0.66). When evaluating the predictive accuracy according to optimal cut-off point of each scoring system, RESP score had a best specificity of 91.3% and 66.7% of sensitivity, respectively. This study supports the clinical usefulness of the prognostic scoring tools for severe ARDS with ECMO therapy when applying to the Korean patients receiving ECMO.
목차
등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Pham T / 2013 / Extracorporeal membrane oxygenation for pandemic influenza A(H1N1)-induced acute respiratory distress syndrome : a cohort study and propensity-matched analysis / Am J Respir Crit Care Med 187:276~285
Schmidt M / 2013 / The PRESERVE mortality risk score and analysis of long-term outcomes after extracorporeal membrane oxygenation for severe acute respiratory distress syndrome / Intensive Care Med 39:1704~1713
Pappalardo F / 2013 / Predicting mortality risk in patients undergoing venovenous ECMO for ARDS due to influenza A(H1N1)pneumonia : the ECMOnet score / Intensive Care Med 39:275~281
Schmidt M / 2014 / The Respiratory Extracorporeal Membrane Oxygenation Survival Prediction(RESP)score / Am J Respir Crit Care Med 189:1374~1382
Roch A / 2014 / Outcome of acute respiratory distress syndrome patients treated with extracorporeal membrane oxygenation and brought to a referral center / Intensive Care Med 40:74~83
Schmidt M / 2013 / The PRESERVE mortality risk score and analysis of long-term outcomes after extracorporeal membrane oxygenation for severe acute respiratory distress syndrome / Intensive Care Med 39:1704~1713
Pappalardo F / 2013 / Predicting mortality risk in patients undergoing venovenous ECMO for ARDS due to influenza A(H1N1)pneumonia : the ECMOnet score / Intensive Care Med 39:275~281
Schmidt M / 2014 / The Respiratory Extracorporeal Membrane Oxygenation Survival Prediction(RESP)score / Am J Respir Crit Care Med 189:1374~1382
Roch A / 2014 / Outcome of acute respiratory distress syndrome patients treated with extracorporeal membrane oxygenation and brought to a referral center / Intensive Care Med 40:74~83
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소아 급성호흡곤란증후군에서 체외순환막장치 적용에 대한RESP, PRESERVE, ECMOnet 점수 체계의 유용성
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