@article {Corcoran2000130作者={科克兰,John p . Psallidas, Ioannis和格里,斯蒂芬和短笛,弗朗西斯科·Koegelenberg,柯恩拉德·萨巴,Tarek Daneshvar,塞勒斯和费尔贝恩,伊恩和Heinink,理查德和西方,亚历克斯·斯坦顿,安德鲁·e,河中沙洲杰恩Kastelik,杰克和引导,亨利和唐纳,尼古拉·j·哈里斯,穆罕默德和贝克,艾玛·h·埃弗雷特,卡罗琳·f·Pepperell,贾斯汀和贝维克托马斯和Yarmus,和朗Maldonado,法比安和汗,Burhan Hart-Thomas,艾伦和手,乔治娜和沃里克,杰弗里和德丰塞卡Duneesha哈桑,法师和Munavvar,穆罕默德和Guhan Anur Shahidi, Mitra Pogson, Zara和Dowson,李和Popowicz,纳塔莉亚·d·萨巴,朱迪丝和病房,尼尔·r·Hallifax,罗伯·j·多布森,梅丽莎和肖,雷切尔和哈德利·艾玛·l·萨比亚,Assunta和罗宾逊,芭芭拉和柯林斯,加里·s·戴维斯,海伦大肠和Yu, Ly-Mee和米勒,罗伯特·f·Maskell,尼克·a·拉赫曼,纳吉布。},标题={前瞻性验证快速临床风险预测分数在成人患者胸膜感染:试点研究},体积= {56}= {5},elocation-id = {2000130} = {2020}, doi ={10.1183/13993003.00130 -2020},出版商={欧洲呼吸学会},文摘={背景/ 30 \ %的成年患者胸膜感染死亡和/或需要手术。188bet官网地址没有健壮的方法预测患者在基线报告遭受贫穷的临床结果。验证风险预测评分将允许高危患者的早期识别,可能导演更积极的治疗。目标的前瞻性评估先前描述的风险评分(快速(肾(尿素)、年龄、流体流脓,感染源、膳食(白蛋白))分数)在成人与胸膜感染。方法前瞻性队列研究,招募病人接受治疗胸膜感染。快速得分和风险类别计算基准。主要的结果是在3个月死亡率;次要结果在12个月内死亡率、住院时间、医疗需要胸外科、失败和肺功能3个月。结果死亡率数据在542年的546名患者招募(99.3 \ %)。总体死亡率10 \ % 3个月(54 542)和19 \ %在12个月(102 542)。在3个月快速风险类别预测死亡率。低风险的死亡率(快速得分0 {\ textendash} 2): 5 222(2.3 \ %、95 \ %可信区间0.9 - 5.7 \ %); medium-risk mortality (RAPID score 3{\textendash}4): 21 out of 228 (9.2\%, 95\% CI 6.0 to 13.7\%); and high-risk mortality (RAPID score 5{\textendash}7): 27 out of 92 (29.3\%, 95\% CI 21.0 to 39.2\%). C-statistics for the scores at 3 months and 12 months were 0.78 (95\% CI 0.71{\textendash}0.83) and 0.77 (95\% CI 0.72{\textendash}0.82), respectively.Conclusions The RAPID score stratifies adults with pleural infection according to increasing risk of mortality and should inform future research directed at improving outcomes in this patient population.This multicentre observational study shows that RAPID score can stratify adults with pleural infection into categories according to increasing risk of 3-month mortality and should inform future research directed at improving outcomes in this population https://bit.ly/37tk2LN}, issn = {0903-1936}, URL = {//www.qdcxjkg.com/content/56/5/2000130}, eprint = {//www.qdcxjkg.com/content/56/5/2000130.full.pdf}, journal = {European Respiratory Journal} }