Investigation of the correlation between MODS score and incidence of stress ulcer

摘要：

　　BACKGROUND: To predict the incidence of stress ulcer among multiple organ dysfunction syndrome(MODS) patients, which can provide basis for prophylaxis.METHODS: Clinical data of two hundred and sixty-two patients who conform to the MODS diagnosis criterion”1,2” admitted to our EICU from August 2008 to August 2012 was investigated in the retrospective study.All MODS patients were evaluated with MODS score criterion of Marshall.According to the diagnosis criterion of stress ulcer”3”, the stress ulcer was identified.Correlation between the score with incidence of stress ulcer was studied by rank method.The ability of MODS score to predict the incidence of stress ulcer was estimated with ROC.Optimization critical value was obtained by Youden index.RESULTS: Spearman Correlation coefficient was 0.693(P<0.01).The area under the ROC was 0.793 (P <0.01).The optimization critical value to predict the incidence of stress ulcer was 9.Conclusion:The incidences of stress ulcer can be predicted by MODS score to some extent.Stress ulcer prophylaxis is necessary when the MODS score is above 9.

关键词： stress ulcer multiple organ dysfunction syndrome severity score correlation prophylaxis intensive care unit retrospective study incidence.

作者: LIN Jin-feng YANG Zhi-zhou SHAO Dan-bing LIU Hong-mei ZHANG Wei REN Yi SUN Zhao-rui TANG Wen-jie NIE Shi-nan

作者单位: Jingling Hosp, Dept Emergency, Nanjing Univ, Sch Med, Nanjing 210002, Peoples R China

会议类型: 国内会议

会议名称: PUISEM2015北京协和急诊医学国际高峰论坛

会议地点: 北京

会议语种:英文

页码: 18-24

在线出版日期: 2015-04-17（万方平台首次上网日期，不代表论文的发表时间）