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新型冠状病毒肺炎预后临床预测评分研究进展
蔡芋晴
曾惠清
李琪
李艳萍
郑耐珊
赖燕婷
陈享星
作者及单位信息
·
DOI： 10.3760/cma.j.cn112147-20211125-00837
Advances in clinical prediction scores for prognosis of coronavirus disease-2019
Cai Yuqing
Zeng Huiqing
Li Qi
Li Yanping
Zheng Naishan
Lai Yanting
Chen Xiangxing
Authors Info & Affiliations
Cai Yuqing
The Third Clinical Medical College, Fujian Medical University, Fuzhou 350001, China
Zeng Huiqing
Department of Pulmonary and Critical Care Medicine, Zhongshan Hospital, Xiamen University, Xiamen 361004,China
Li Qi
Department of Pulmonary and Critical Care Medicine, Zhongshan Hospital, Xiamen University, Xiamen 361004,China
Li Yanping
The Third Clinical Medical College, Fujian Medical University, Fuzhou 350001, China
Zheng Naishan
The Third Clinical Medical College, Fujian Medical University, Fuzhou 350001, China
Lai Yanting
Department of Pulmonary and Critical Care Medicine, Zhongshan Hospital, Xiamen University, Xiamen 361004,China
Chen Xiangxing
Department of Pulmonary and Critical Care Medicine, Zhongshan Hospital, Xiamen University, Xiamen 361004,China
·
DOI： 10.3760/cma.j.cn112147-20211125-00837
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摘要

新型冠状病毒肺炎（coronavirus disease-2019，COVID-19）已成为全球重大公共卫生事件，对现有医疗资源造成重大负担。COVID-19以轻型、普通型多见，重型-危重型所占比例虽然较少，但病死率明显升高，所需医疗资源也往往更多。多种基于其他疾病及COVID-19的评分被用于COVID-19不良预后风险的评估，其中包含社区性肺炎、病毒性肺炎、脓毒症早期识别等常用评分。但上述评分普遍存在通用性、适用性不明，高偏倚等风险。本文将对现有COVID-19评分进行归纳、总结，旨在为临床不良预后风险评估提供参考。

ABSTRACT

Coronavirus Disease-2019 (COVID-19) has been a major public health issue all over the world, placing a significant burden on available healthcare resources. The most common types of COVID-19 are the mild and common forms. Although the proportion of the severe-critical types is smaller, the rate of death is significantly higher and the medical resources required tend to be greater. Thus, a variety of scores based on other disease and COVID-19 were used to assess the risk of poor prognosis on the COVID-19, including the common scores for community-acquired pneumonia, sepsis and viral pneumonia. Unfortunately, the above scores often lacked an adequate description of the applicable population or were at high risk of bias with unknown applicability. Therefore, the article summarized the existing scores, aiming to provide a reference for clinical prognostic risk assessment

Zeng Huiqing, Email: nc.defudabe.umx21217002qhz
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引用本文

蔡芋晴,曾惠清,李琪,等. 新型冠状病毒肺炎预后临床预测评分研究进展[J]. 中华结核和呼吸杂志,2022,45(07)：706-711.

DOI:10.3760/cma.j.cn112147-20211125-00837

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自2019年12月至今，新型冠状病毒（SARS-CoV-2）在全球范围内迅速传播，截止至2022年3月，全球累计确诊新型冠状病毒肺炎（coronavirus disease-2019，COVID-19）人数高达4.7亿，累计死亡人数约611万，对全球公共卫生安全造成了巨大威胁 ［ 1 , 2 , 3 ］ 。新型冠状病毒肺炎主要以轻型、普通型为主，预后大多较好，但一部分患者可进展为重型、危重型，病死率明显升高。为早期评估疾病的严重程度，优化资源配置，目前存在多种预后评分。本文将对现有预后评分进行总结，以供临床参考。
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备注信息
A
曾惠清，Email： nc.defudabe.umx21217002qhz
B

蔡芋晴, 曾惠清, 李琪, 等. 新型冠状病毒肺炎预后临床预测评分研究进展[J]. 中华结核和呼吸杂志, 2022, 45(7): 706-711. DOI: 10.3760/cma.j.cn112147-20211125-00837.

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