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" Comparing the APACHI II score and the IBMP-10 score for predicting mortality in patients with ventilator-associated pneumonia "
/سمیه حقیقیپور
; Alireza Emami Naeini, Saeid Abbasi
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Isfahan University of Medical Sciences
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| Document Type
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Latin Dissertation
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| Language of Document
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English
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| Record Number
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103450
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| Doc. No
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T15066
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WC,202,H145c,2014
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| Main Entry
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Haghighipour, Somayeh
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| Title & Author
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Comparing the APACHI II score and the IBMP-10 score for predicting mortality in patients with ventilator-associated pneumonia/سمیه حقیقیپور
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| College
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Schools, Medical
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| Date
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, 2014
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| Degree
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Infectious Diseases, Speciality
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12 p.: Diag., tab.
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| Note
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This thesis is a research project with project ID:392184
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| Abstract
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Background: Ventilator-associated pneumonia is defined as pneumonia in patients who use ventilators. The acute physiology and chronic health evaluation (APACHE II) scoring system was originally developed for predicting mortality in patients who were admitted to the intensive care unit, Due to the complexity, a simpler and more practical score called IBMP-10. We designed the following study to confirm and further investigate these two methods. Methods: Our study was in a cross-sectional and analysis-descriptive method. At the moment of diagnosis of VAP in intensive care unit`s, APACHE II and the IBMP-10 scores were calculated. ROC curves were generated to compare the new prediction rule with the APACHE II score. Results were reported as adjusted odds ratios with 95 confidence intervals (CIs). Analyses were performed using SPSS , version 20 and P values of 0.05 were considered to be statistically significant. Results: Sixty patients participated in our study. The T independent test showed that APACHE II Score means (P<0.001) and IBMP-10 score (P<0.001) means had significant increase in Non-survivor patient than in patients who survived. APACHE II can be used as a good prediction measure for mortality rate. In IBMP-10 method, specificity and PPV were greater than APACHE II, but in mc-nemar test, there was no significant difference between the two methods (P=0.55). Both prediction rules had high negative prediction values. In our study, survivors' prediction value in APACHE II was 46.7 percent, and in IBMP-10,it was 46.7 percent. Conclusion: Our study shows that IBMP-10, compared to APACHE II, has greater sensitivity, specificity, and AUC to predict mortality. In our study, we determined that the consequence of the use of IBMP-10 was better than that of APACHE II.
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| Descriptor
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1. Pneumonia, Ventilator-Associated.- Descriptors: Pneumonia, Ventilator-Associated
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Mortality
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APACHE
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| Added Entry
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Emami Naeini, Alireza, Supervisor
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Abbasi, saeid, Supervisor
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| Translated Title Supplied by Cataloguer
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مقایسه پیشگویی مرگ در بیماران مبتلا به پنومون وابسته به ونتیلاتور به دو روش APACHI-II و IBMP-10
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