SAPS3-CNIV score to predict hospital mortality following noninvasive ventilation: methodology insights

SAPS3-CNIV score to predict hospital mortality following noninvasive ventilation: methodology insights
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SAPS3-CNIV 评分可预测无创通气后的医院死亡率:方法见解

DOI:
10.1183/23120541.00143-2019
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发表时间:
2019
期刊:
影响因子:
4.6
通讯作者:
A. Esquinas
A. Esquinas
中科院分区:
医学4区
文献类型:
--
作者:
J. Duan;B. Mina;A. Esquinas

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我们怀着极大的兴趣阅读并祝贺Huseini等人[1]对SAPS 3-CNIV评分(为无创通气定制的简化急性生理学评分3)的外部验证,以预测医院死亡率。Huseini等人[1]得出结论,与SAPS 3相比,SAPS 3-CNIV并未改善患者死亡率的预测。该评分系统包括SAPS 3、血红蛋白、二氧化碳分压、乳酸、不复苏(DNR)命令和呼吸衰竭病因。然而,我们认为,有一些关键方面需要考虑到适当的临床外推。为了克服SAPS 3-CNIV的方法学局限性,有必要进一步研究预测住院死亡率的评分方法。http://bit.ly/2QE1LoB
We have read with great interest and congratulate Huseini et al. [1] on the external validation of the SAPS3-CNIV score (Simplified Acute Physiology Score 3 customised for noninvasive ventilation) to predict hospital mortality. Huseini et al. [1] concluded that SAPS3-CNIV did not improve prediction of mortality in patients over SAPS3. This scoring system included the SAPS3, haemoglobin, carbon dioxide tension, lactate, do not resuscitate (DNR) orders and aetiology of respiratory failure. However, we consider that there are some key aspects that need to be taken into account for a proper clinical extrapolation. Further work towards the development of scores to predict hospital mortality is warranted, to overcome the methodological limitations of the SAPS3-CNIV http://bit.ly/2QE1LoB