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¿¬º¹Èñ ( Youn Bock-Hui ) - À»Áö´ëÇб³º´¿ø
±èÀº°æ ( Kim Eun-Kyung ) - À»ÁöÀÇ°ú´ëÇб³ °£È£´ëÇÐ
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Abstract
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Purpose: The purpose of this study was to evaluate and compare the predictive ability of three mortality scoring systems; Acute Physiology and Chronic Health Evaluation(APACHE) ¥², Simplified Acute Physiology Score(SAPS) ¥±, and Mortality Probability Model(MPM) ¥± in discriminating in-hospital mortality for intensive care unit(ICU) patients with spontaneous intracerebral hemorrhage.
Methods: Eighty-nine patients admitted to the ICU at a university hospital in Daejeon Korea were recruited for this study. Medical records of the subject were reviewed by a researcher from January 1, 2003 to March 31, 2004, retrospectively. Data were analyzed using SAS 8.1. General characteristic of the subjects were analyzed for frequency and percentage.
Results: The results of this study were summarized as follows. The values of the Hosmer-Lemeshow¡¯s goodness-of-fit test for the APACHE ¥², the SAPS ¥± and the MPM ¥± were chi-square H=4.3849 p=0.7345, chi-square H= 15.4491 p=0.0307, and chi-square H=0.3356 p=0.8455, respectively. Thus, The calibration of the MPM ¥± found to be the best scoring system, followed by APACHE ¥². For ROC curve analysis, the areas under the curves of APACHE ¥², SAPS ¥±, and MPM ¥± were 0.934, 0.918 and 0.813, respectively. Thus, the discrimination of three scoring systems were satisfactory. For two-by-two decision matrices with a decision criterion of 0.5, the correct classification of three scoring systems were good.
Conclusion: Both the APACHE ¥² and the MPM ¥± had an excellent power of mortality prediction and discrimination for spontaneous intracerebral hemorrhage patients in ICU.
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KeyWords
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ÁßȯÀÚ, »ç¸Á¿¹Ãø, APACHE, SAPS, MPM
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