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Korean Journal of Adult Nursing ((구)Journal of Korean Academy of Adult Nursing)


ISSN  1225-4886 (Print)
Published since 1989
Indexed in SCOPUS, CINAHL, KoreaMed, KoMCI

2005 Korean Journal of Adult Nursing ((구)Journal of Korean Academy of Adult Nursing)ALL

Page 464 ~ 473
제목 자발성 뇌내출혈 환자의 예후 예측도구 비교
Title Comparison of Predict Mortality Scoring Systems for Spontaneous Intracerebral Hemorrhage Patients
저자 연복희. 김은경
Author Bock-Hui Youn, Eun-Kyung Kim
주요어 중환자, 사망예측, APACHE, SAPS, MPM
Keyword Intensive care, Mortality prediction, Acute Physiology and Chronic Health Evaluation (APACHE), Simplified acute physiology score, Morality probability model
File
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) Ⅲ, Simplified Acute Physiology Score(SAPS) Ⅱ, and Mortality Probability Model(MPM) Ⅱ 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 Ⅲ, the SAPS Ⅱ and the MPM Ⅱ 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 Ⅱ found to be the best scoring system, followed by APACHE Ⅲ. For ROC curve analysis, the areas under the curves of APACHE Ⅲ, SAPS Ⅱ, and MPM Ⅱ 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 Ⅲ and the MPM Ⅱ had an excellent power of mortality prediction and discrimination for spontaneous intracerebral hemorrhage patients in ICU.
Page Title Author
349~357 The Effects of Foot Reflexologic Massage on Blood Pressure and Sleep of the Elderly With Essential Hypertension Han Song-Hee, Lee Young-Hee
358~367 Effects of Group Reminiscence with Mugwort Fragrance Inhalation on Pain, Depression and Ego Integrity of the Elderly with Chronic Pain Kim Soo Yeoung, Kim Myung Ae
368~378 The Predictors of Subjective Well-Being among Older Adults Gong Su-Ja, Kim Hyun-Sook, Ha Mi-OK
379~388 Factors Related to Quality of Life among Rural Elderly Seo Nam Sook, Chung Young hae, Kim Jeong Sook
389~399 General Perception about the Life of Institutionalized Elderly Kim Myung-Ae, Kim Hye-Jin, Kim Young-Suk
400~410 Life Satisfaction and Depression according to Living Arrangement in Elderly Choi Yeon-Hee
411~424 Development and Evaluation of e-EBPP(Evidence-Based Practice Protocol) System for Evidence-Based Dementia Nursing Practice Park Myonghwa
425~434 Effects of Aerobic Exercise Program for Obese Elderly Women Kim In Hong
435~443 The Relationship of Fatigue, Self Efficacy, Family Support and Sleep Factor in Hemodialysis Patients Choi Eun Young, Lee Hyang Yeon
444~451 Effects of Internet Diabetic Education on Blood Glucose in Hyperglycemic Patients Kim Hee-Seung
452~463 Analyses of the Studies on Cardiovascular Disease-Specific Quality of Life Reported in Korea Lee Eun-Hyun, Tak Seung Jai, Song Yeoungsuk
464~473 Comparison of Predict Mortality Scoring Systems for Spontaneous Intracerebral Hemorrhage Patients Bock-Hui Youn, Eun-Kyung Kim
474~483 Perceived Benefits and Barriers According to the Stage of Mammography Adoption in Adult Women Hur Hea Kung, Song Hee-Young
484~492 Effect of Providing Information on Anxiety, Knowledge and Compliance of Patients with a Permanent Pacemaker Lee Sun Kyung, Yoo Yang Sook
493~502 The Effects of Foot Reflexology Massage on Sleep and Fatigue of Elderly Women Jin Su Jin, Kim Yeong Kyeong