目的:本研究旨在评估SOFA的预测准确性,MODS,和LODS评分用于确定接受心脏直视手术的老年人谵妄的死亡率。
方法:一项前瞻性研究涉及111名符合纳入标准的老年患者。使用评分系统收集数据:SOFA,MODS,和LODS。
结果:在最后的随访中,86.5%的病人已经康复,13.5%已经死亡。灵敏度,特异性,负,和预测老年患者死亡率的阳性预测值计算为99%的SOFA评分,73%,98%,76%,分别。对于MODS分数,这些值是95%,60%,95%,和67%;对于LODS得分,他们是92%,73%,92%,75%,分别。三个分数的总体准确性-SOFA,MODS,LODS-为84%,76%,82%,分别。
结论:结果表明,SOFA评分在预测老年人死亡率方面表现出最高的敏感性和特异性。
OBJECTIVE: This study aims to assess the predictive accuracy of SOFA,
MODS, and LODS scores in determining the mortality of elderly undergoing open heart surgery with delirium.
METHODS: A prospective study involved 111 elderly patients who met the inclusion criteria. Data were collected using scoring systems: SOFA,
MODS, and LODS.
RESULTS: Upon final follow-up, 86.5 % of the patients had recovered, 13.5 % had died. Sensitivity, specificity, negative, and positive predictive values for predicting mortality in elderly patients were calculated for the SOFA score as 99 %, 73 %, 98 %, and 76 %, respectively. For the
MODS score, these values were 95 %, 60 %, 95 %, and 67 %; for the LODS score, they were 92 %, 73 %, 92 %, and 75 %, respectively. The overall accuracy of the three scores-SOFA,
MODS, and LODS-was 84 %, 76 %, and 82 %, respectively.
CONCLUSIONS: The results indicated that the SOFA score exhibited the highest sensitivity and specificity in predicting mortality among elderly individuals.