4种评估表对ICU患者压疮预测能力的比较研究-现代医学

4种评估表对ICU患者压疮预测能力的比较研究

作者：李晓青

单位：东南大学附属中大医院

分类号：

出版年·卷·期（页码）：2010·38·第六期（616-619）

摘要：

【摘要】目的：比较Braden评估表，Norton评估表，Anderson评估表和国内评估表对ICU患者压疮的预测效果。方法：选取ICU重症患者135例，运用4种评估表对每例患者连续评估，计算各量表的灵敏度、特异度、预测值和ROC曲线下面积。结果：4种量表的首末次敏感度分别为Braden 89%，85%、Norton 73%，75%、Anderson 67%，75%和国内评分88%，87%；特异度分别为Braden 56%，58%、Norton 65%，79%、Anderson54%，63%、国内评分76%，79%；国内评分表和Norton量表的AUC>0.5。结论：Braden与国内评估表预测能力较理想，而且更加直观、简便、易于操作，可以在临床评估中推荐使用，尤其是在ICU患者中。

【Abstract】 Objectives: To compare the predictive effectiveness of Braden, Norton , Anderson scales and Chinese scale in assessing pressure risk among ICU patients. Method: In a general hospital, one hundred and thirty-five patients were assessed. Sensitivity, specificity, predictive values and area under the ROC were calculated to evaluate the predictive power of four scales. Results: The sensitivities are different in four scales. The AUC of Norton scales and Chinese scales were over 0.5 while the others were under 0.5. Conclusion: Braden scale and Chinese scale are more effective in pressure sore risk prediction and more suitable for use in ICU.

参考文献：

服务与反馈：

【文章下载】【发表评论】【查看评论】【加入收藏】

提示：您还未登录，请登录！点此登录