Comparative study to the practice of APACHEⅡ score, APACHEⅢ score and pneumonia severity index in the elderly patients with severe pneumonia
Abstract：Objective The aim of this study was to compare the effects of Acute Physiology and Chronic Health EvaluationⅡ score ( APACHEⅡ score ) , Acute Physiology and Chronic Health EvaluationⅢscore (APACHEⅢscore) and pneumonia severity index (PSI score) for the prediction of 28-day mortality in the elderly patients with severe pneumonia .Methods A total of 102 critical patients during May 2014 and September 2015 , undertook APACHEⅡ, score APACHEⅢscore and PSI score.Correlations between the scores from the three methods and prognoses were compared according to the survival and death conditions during a 28-day observation period; the accuracy of evaluating the prognoses with three scoring systems was compared by areas under the ROC curve . Results APACHEⅡ/Ⅲscore had good discrimination for predicting 28-day mortality in elderly patients with severe pneumonia, and with AUC 0.930 (P=0.000, 95%CI 0.861~1.000), 0.795 (P=0.001, 95%CI 0.661 ~0.929).However, the PSI score did not have discrimination power for predicting mortality, with AUC 0.677(P=0.047, 95%CI 0.515~0.839).Conclusion These data suggest that APACHEⅡ, as well as APACHEⅢ score, is effective for predicting 28 -day mortality in elderly patients with severe pneumonia , but that the PSI score does not have good discrimination and calibration for predicting mortality .APACHEⅡscore is excellent in the prediction of 28-day mortality .
Keywords：APACHEⅡscoreAPACHEⅢscorePneumonia severity index ( PSI)Elderly patients with severe pneumonia
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1013-1016 )