| 摘要: |
| ［摘要］ 目的 探讨PORT评分在老年人社区获得性肺炎(community acquired pneumonid,CAP)预后评估中的价值。方法 收集某院呼吸内科收治的139例60岁以上CAP患者的临床资料，根据患者预后分为存活组和死亡组，并根据患者第1个24 h内的临床资料进行PORT评分，绘制受试者工作曲线，对两组患者的一般情况和PORT评分分值进行分析，并比较不同PORT评分患者的预后。结果 139例患者中，存活91例，死亡48例，病死率为34.5%,存活组PORT评分为(96.85±22.94)分，低于死亡组(129.35±30.79)分（P<0.01）。PORT评分≤70分组、71～90分组、91～130分组以及>130分组的病死率分别为10.0%、13.9%、32.2%和67.6%，四组比较差异有统计学意义（P<0.01）。以PORT评分105作为判断患者最终死亡,灵敏度为79.2%,特异度为69.2%，ROC曲线下面积为0.803(95%CI:0.725～0.881,P=0.000)。结论 PORT评分评估老年人CAP病情及预后有一定的临床价值。 |
| 关键词: 老年 社区获得性肺炎 预后 |
| DOI：10.3969/j.issn.1674-3806.2012.08.13 |
| 分类号:R 563.1 |
| 基金项目: |
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| Effect of PORT score in the evaluation of prognosis of elderly patients with community acquired pneumonia |
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HU Guo-ping,YU Yan,LIANG Wei-qiang,et al.
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Department of Respiratory Diseases, the Third Affiliated Hospital, Guangzhou Medical College, Guangdong 510150,China
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| Abstract: |
| ［Abstract］ Objective To explore the value of PORT score in the evaluation of prognosis of elderly patients with community acquired pneumonia（CAP）. Methods The clinical data of 139 elderly paitents with CAP was prospectively analyzed. According to the prognosis, the patients were divided into survivors and non-survivors groups, and the level of PORT score was calculated. Next, according to PORT score,patients were divided into ≤70 group,71～90 group,91～130 group and >130 group, the mortality rate were observed.Results The level of PORT score was higher in non-survivors group than that in survivors group (P<0.01). Mortality rate in ≤70 group,71～90 group,91～130 group and >130 group were 10.0%,13.9%,32.2%和67.6%(P<0.01). The sensitivity, specificity and the diagnostic value of PORT score were 79.2 %, 69.2% and 105, respectively,and the area under the ROC curve was known to be 0.803 (95%CI:0.725～0.881,P=0.000).Conclusion PORT score is a good indicators for prognosis of elderly patients with CAP. |
| Key words: Elderly Community acquired pneumonia(CAP) Prognosis |
