التفاصيل البيبلوغرافية
| العنوان: |
影响热射病患者 90 d 预后的危险因素分析. (Chinese) |
| Alternate Title: |
Analysis of risk factors affecting 90-day prognosis of patients with heat stroke. (English) |
| المؤلفون: |
徐榕, 文丹, 何海燕, 杜小利 |
| المصدر: |
Journal of Modern Medicine & Health; 2/28/2024, Vol. 40 Issue 4, p595-599, 5p |
| Abstract (English): |
Objective To investigate the risk factors of 90-day prognosis in patients with heat stroke. Methods A retrospective analysis was performed on 89 patients with heat stroke admitted to the Department of Intensive Care Medicine, Mianyang Central Hospital from June 2018 to August 2022.They were divided into the survival group and the death group according to 90-day mortality. Data of age, temperature and heart rate at admission, cooling time, inflammation and laboratory data on organ dysfunction, acute physiology and chronic health evaluation Ⅱ score, Sequential Organ Failure Assessment (SOFA) score, and Glasgow Coma Scale score were compared between the two groups. Results Of the 89 patients, 27 (30.3%) died within 90 days. Cooling time, heart rate at admission, SOFA score were independent risk factors affecting patient survival, and the differences were statistically significant (HR=6.230,1.738,1.042,95% confidence interval: 2.561-14.521,1.026-2.114,1.011-1.427,P=0.004,0.002,0.023). The area under the working characteristic curve of the combination of cooling time, heart rate at admission, and SOFA score predicted the 90-day mortality of the patients with heat stroke was 0.993 (95%CI:0.976-1.000,P＜0.001), the sensitivity was 1.000, and the specificity was 0.933.Conclusion Cooling time, heart rate on admission, and SOFA score are the factors affecting 90-day survival of patients with thermal radiation. The three indexes can be used in combination to predict 90-day mortality and poor prognosis [ABSTRACT FROM AUTHOR] |
| Abstract (Chinese): |
目的 探讨热射病患者90d预后的危险因素。方法 回顾性分析 2018 年 6 月至 2022 年 8 月 该院重症医学科收治的热射病患者 89 例, 根据 90d 死亡情况分为存活组(62例)和死亡组 (27例), 比较2组患 者年龄、入院时体温及心率、降温时间、炎症及器官功能障碍的实验室数据、急性生理和慢性健康状况Ⅱ评分、 序贯器 官 衰 竭 估 计 (SOFA) 评 分、格 拉 斯 哥 昏 迷 评 分 法 评 分 等。结 果 89 例 患 者 中 90d 内 死 亡 27 例 (30.3%)。降温时间、入 院 时 心 率、SOFA 评 分 是 影 响 患 者 生 存 的 独 立 危 险 因 素 (风 险 比 =6.230、1.738、 1.042, 95%可信区间:2.561~14.521、1.026~2.114、1.011~1.427, P=0.004、0.002、0.023)。降温时间、入 院时心率、SOFA 评分联合预测热射病患者90d病死率的受试者工作特征曲线下面积为0.993(95%可信区 间:0.976~1.000, P<0.001), 灵敏度为1.000, 特异度为0.933。结论 降温时间、入院时心率、SOFA 评分是 影响热射病患者90d生存的因素, 3个指标可联合使用预测患者90d病死率和不良预后。 [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
