Comparison of DECAF score and DECAF+Lactate score in the prediction of mortality in patients with acute exacerbation of COPD Poređenje skora DECAF i skora DECAF+Laktat u predikciji mortaliteta kod bolesnika sa akutnim pogoršanjem HOBP
Vojnosanitetski Pregled, cilt.81, sa.4, ss.225-230, 2024 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 81 Sayı: 4
- Basım Tarihi: 2024
- Doi Numarası: 10.2298/vsp230925016t
- Dergi Adı: Vojnosanitetski Pregled
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.225-230
- Anahtar Kelimeler: critical illness, lactates, mortality, prognosis, pulmonary disease, chronic obstructive, sensitivity and specificity, severity of illness index
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background/Aim. Chronic obstructive pulmonary disease (COPD) is a chronic process that progresses with exacerbations. Various studies are carried out to predict mortality. Among the routine tests used to monitor and treat disease in the emergency department, special efforts are made to find those that are meaningful and diagnostic. The aim of the study was to compare the DECAF score and DECAF+Lactate score and examine the significance of the DECAF+Lactate score in predicting mortality in critically ill patients presenting with COPD exacerbation. Methods. This prospective multicentric study included 435 patients recruited from two centers. Patients who presented to the emergency department with acute COPD exacerbation and fit the definition of critically ill according to the quick Sequential Organ Failure Assessment (qSOFA) were included in the study. The prognostic values of the scores were compared using the receiver operating characteristic (ROC) curve analysis. The efficiency of