The predictive value of APACHE Ⅱ and TISS-28 in the treatment to respiratory failure in acute exacerbation of chronic obstructive pulmonary disease
Abstract：Objective Estimating the treatment to respiratory failure in acute exacerbation of chronic obstructive pulmona-ry disease by scores in the form of quantitative assessment. Methods 1S6 patients with chronic obstructive pulmonary disease with acute exacerbation of respiratory failure in patients in the medical intensive care unit based on the worst value of the calculated APACHE Ⅱ score were grouped, divided into groups and pairs of oxygen the level of non-invasive positive pressure ventilation group. Based on the worst values calculated by the APACHE Ⅱ and TISS-28 score within 24 h after admission into MICU selected cases is re-grouped into an effective group of oxygen, BiPAP effective group and invasive ventilation group. Statistics separately for each group of patients with APACHE Ⅱ score and TISS-28 score range, length of stay. Results The invasive ventilation group APACHE Ⅱ score (27.44±6. 79) and TISS-28 score (28. 22±7. 90) was significantly higher than the other groups(P <0. 01) . The effective group of oxygen and effective group MICU time of Bi-PAP have no significant difference(P >0. 05) .invasive ventilation group and effective group MICU hours of BiPAP have significant difference( P < 0. 01) . Conclusion Patients with acute exacerbation of COPD, we can refer to disease severity ( APACHE Ⅱ score)and treatment intensity (TISS-28 score)to select the appropriate treatments.
Keywords：APACHE ⅡTISS-28acute exacerbation chronic obstructive pulmonary diseaserespiratory failure
Publication Date：2009-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 1121-1123 )