GIÁ TRỊ THANG ĐIỂM BAP-65 VÀ DECAF TRONG TIÊN LƯỢNG TỬ VONG VÀ NHU CẦU THỞ MÁY Ở BỆNH NHÂN BỆNH PHỔI TẮC NGHẼN MẠN TÍNH TRONG ĐỢT CẤP

Abstract

Object: Assess the value of the DECAF and BAP-65 scores  in the prediction of mortality and need for mechanical ventilation in chronic obstructive pulmonary disease patient (COPD) with acute exacerbation. Subject and method: A Observation, prospective study in 87 patients AECOPD were admitted to Respiratory Center of 103 Hospital, from 9/2020 to 5/2021. The patients were clinically examined, tested, and assessed the BAP-65 and DECAF scores at the time of admission. Evaluation of treatment outcomes for exacerbations: good, indicated for mechanical ventilation and mortality. Analysis of the value of the DECAF and BAP-65 scores in the prognosis of mortality and the need for mechanical ventilation. Results: For the predicting of mortality, DECAF score >2 has sensitivity and specificity that were 100% and 89.2%, AUROC= 0.956 (95%CI: 0.91-1.00). BAP-65 score > 3 has sensitivity and specificity that were 75% and 94%, area under the ROC curve: 0.93 (95%CI: 0.84-1.0). The DECAF score >1 has a prognostic value for the need for mechanical ventilation with sensitivity: 100%, specificity: 80.5%, AUROC = 0.902 (95%CI: 0.828 - 0.976). The BAP-65 score >1 has a prognostic value for the need for mechanical ventilation with sensitivity: 60%, specificity: 93.9%, AUROC= 0.912 (95%CI: 0.818-1.0). Conclusion: DECAF and BAP-65 scores have predictive value of mortality and need for mechanical ventilation in COPD patients with acute exacerbation, but DECAF score has higher prognostic value.