未经评估:探讨Barthel评分的护理预测价值,非ST段抬高型心肌梗死(NSTEMI)住院患者的序贯器官衰竭评估(SOFA)评分和D-二聚体。
UNASSIGNED:对急诊科收治的358例NSTEMI患者的临床资料进行logistic回归方程分析,并绘制ROC曲线。比较不同指标的ROC曲线下面积(AUC)。建立了COX回归模型,并绘制了生存曲线。
未经评估:年龄差异显著,D-二聚体,WBC,NT-proBNP,EF(%),BI得分,MEWS得分,28天死亡组与存活组之间的SOFA评分(P<0.05)。结果显示D-二聚体(P=0.002),SOFA评分(P=0.017),BI评分(P<0.001),胸痛症状(P<0.001)是28天死亡的独立预测因子。当胸痛症状(AUC=0.585),D-二聚体(AUC=0.945,Z=8.00,P<0.01),BI评分(AUC=0.145,Z=5.36,P<0.01),与SOFA评分(AUC=0.847,Z=4.93,P<0.01)比较,结果表明,BI评分(HR=0.961,P<0.01)和SOFA评分(HR=1.316,P<0.001)对死亡患者28天生存时间具有统计学意义。
未经授权:Barthel得分,SOFA得分,D-二聚体对预测NSTEMI患者的严重程度均有重要意义,具有较高的护理评价价值。Barthel和SOFA评分与28天内的死亡风险相关。
UNASSIGNED: To investigate the nursing prediction value of Barthel score, sequential organ failure assessment (SOFA) score and D-dimer on non-ST-elevation myocardial infarction (NSTEMI) inpatients.
UNASSIGNED: The clinical data of 358 NSTEMI patients admitted to the emergency department were analyzed using logistic regression equation and a ROC curve was drawn. The area under ROC curve (AUC) of different indicators was compared. A COX regression model was created, and a survival curve was drawn.
UNASSIGNED: There were significant differences in age, D-dimer, WBC, NT-proBNP, EF (%), BI score, MEWS score, and SOFA score between the 28-day death group and the survival group (P < 0.05). The results showed that D-dimer (P = 0.002), SOFA score (P = 0.017), BI score (P < 0.001), and chest pain symptoms (P < 0.001) were independent predictors of 28-day death. When chest pain symptoms (AUC = 0.585), D-dimer (AUC = 0.945, Z = 8.00, P < 0.01), BI score (AUC = 0.145, Z = 5.36, P < 0.01), and SOFA score (AUC = 0.847, Z = 4.93, P < 0.01) were compared, the results showed that BI score (HR = 0.961, P < 0.01) and SOFA score (HR = 1.316, P < 0.001) had statistical significance on the 28-day survival time of the dead patients.
UNASSIGNED: The Barthel score, SOFA score, and D-dimer are all essential in predicting the severity of NSTEMI patients, with a high nursing evaluation value. The Barthel and SOFA scores are associated with the risk of death within 28 days.