The clinical applied value of acute cardiorenal syndrome early warning scoring system
Objective To discuss the clinically applied value of acute cardiorenal syndrome warning scoring system.Methods A retrospective analysis was performed on clinical data of 353 patients who hospitalized to Cardiology Department of our hospital from January 2014 to January 2015 due to acute heart failur...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | zho |
| Published: |
Editorial Department of Journal of Clinical Nephrology
2015-01-01
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| Series: | Linchuang shenzangbing zazhi |
| Subjects: | |
| Online Access: | http://www.lcszb.com/thesisDetails?columnId=57920137&Fpath=home&index=0 |
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| Summary: | Objective To discuss the clinically applied value of acute cardiorenal syndrome warning scoring system.Methods A retrospective analysis was performed on clinical data of 353 patients who hospitalized to Cardiology Department of our hospital from January 2014 to January 2015 due to acute heart failure.Two types of cardiorenal syndrome(CRS) early warning scoring system were used to assess the risk of acute kidney injury,which was compared with the actual incidence.The mortality of patients with or without CRS was compared during hospitalization period.Results In Forman and other early warning scoring systems,181 cases scored 3 points,accounting for 51.3%.The incidence of CRS in the patients with 4 points or more was highest(59 cases,57.6%).Though there were some differences between the predictive CRS incidence and the actual CRS incidence,the overall trend was the higher the scores,the higher the incidence,which was in line with the clinical practice.With the score increased,the actual incidence of CRS was.O,13.33%,17.02%,47.51%,and 57.6%.The highest score group(score 4 points and above) got the highest mortality(10 cases,16.9%).The early warning scoring system by Chen Yi-pu et al assessed 4-7 points(low-risk) had the highest percentage(39.4%).The patients with 16 points or more had the highest occurrence of CRS(25 cases,86.2%).Though there were some differences between the predictive CRS incidence and the actual CRS incidence,the overall trend was the higher the score,the higher the incidence,which was in line with the clinical practice.With the score increased,the actual incidence of CRS was 11.4,26.6%,35.5%,68.4%,and 86.2%.The highest score group(score 16 points and above) obtained the highest mortality(5 cases,17.2%).Although both scoring systems had some differences between the predictive CRS incidence and the actual CRS incidence,the overall trend was the higher the score,the higher the incidence,which was in line with the clinical practice.CRS occurred in 138 cases out of353 cases(39.1%).There were 27 deaths with mortality of 7.65%.In 138 cases of CRS,there were22 deaths with the mortality of 15.9%,and in the remaining 215 cases,there were 5 deaths with mortality of 2.3%(P<0.05).Conclusions The overall incidence of CRS was high,and the two scoring systems can effectively screen out high-risk patients with CRS.High-risk CRS patients showed a higher mortality.It is suggested that in clinical practice we need to assess the risk of acute heart failure in patients with acute kidney injury as early as possible,so as to take early intervention to reduce mortality. |
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| ISSN: | 1671-2390 |