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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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Purpose: The purpose of this study was to compare the applicability of the Charlson Comorbidity Index (CCI) and Acute Physiology, Age, Chronic Health Evaluation III (APACHE III) to the prediction of the healthcare outcomes of intensive care unit (ICU) patients. Methods: This research was performed with 136 adult patients (age>18 years) who were admitted to the ICU between May and June 2012. Data were measured using the CCI score with a comorbidity index of 19 and the APACHE III score on the standard of the worst result with vital signs and laboratory results. Discrimination was evaluated using receiver operating characteristic (ROC) curves and area under an ROC curve (AUC). Calibration was performed using logistic regression. Results: The overall mortality was 25.7%. The mean CCI and APACHE III scores for survivors were found to be significantly lower than those of non-survivors. The AUC was 0.835 for the APACHE III score and remained high, at 0.688, for the CCI score. The rate of concordance according to the CCI and the APACHE III score was 69.1%. Conclusion: The route of admission, days in ICU, CCI, and APACHE III score are associated with an increased mortality risk in ICU patients.
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참고문헌 (20)
참고문헌 신청
Bastos, P. G. / 1996 / Application of the APACHE III prognostic system in Brazilian intensive care units : a prospective multicenter study / Intensive Care Medicine 22(6):546~570
Cabrera, R. / 2013 / Evaluation of Charlson comorbidity index as a predictor of adverse outcomes in patients admitted with community-acquired pneumonia / Journal of Hospital Medicine 8(suppl 2)
Charlson, M. E. / 1987 / A new method of classifying prognostic comorbidity in longitudinal studies : development and validation / Journal of Chronic Diseases 40(5):373~383
Chatzicostas, C. / 2003 / A comparison of Child-Pugh, APACHE II and APACHE III scoring systems in predicting hospital mortality of patients with liver cirrhosis / BioMed Central Gastroenterology 3(1):1~7
조수진 / 2011 / 당뇨병 환자의 동반상병 점수에 따른 상급종합병원 이용 차이 / 보건행정학회지 21(4):527~540
Cabrera, R. / 2013 / Evaluation of Charlson comorbidity index as a predictor of adverse outcomes in patients admitted with community-acquired pneumonia / Journal of Hospital Medicine 8(suppl 2)
Charlson, M. E. / 1987 / A new method of classifying prognostic comorbidity in longitudinal studies : development and validation / Journal of Chronic Diseases 40(5):373~383
Chatzicostas, C. / 2003 / A comparison of Child-Pugh, APACHE II and APACHE III scoring systems in predicting hospital mortality of patients with liver cirrhosis / BioMed Central Gastroenterology 3(1):1~7
조수진 / 2011 / 당뇨병 환자의 동반상병 점수에 따른 상급종합병원 이용 차이 / 보건행정학회지 21(4):527~540
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