红细胞分布宽度是感染老年患者多器官功能障碍综合征的危险因素:一个病例对照研究
Boyong Huang1,2, Jipeng Yan3, Cui Li1
1Department of Geriatrics, Xijing Hospital, Fourth Military Medical University, Xi'an, 710032, China.
Aging clinical and experimental research
|May 26, 2023
概括
红细胞分布宽度 (RDW) 是老年患者感染多器官功能障碍综合征 (MODS) 的独立风险因素. 较高的RDW水平表明风险增加.
科学领域:
- 老年医学 老年医学
- 关键护理医学 关键护理医学
- 血液学 血液学 血液学
背景情况:
- 感染是老年人多器官功能障碍综合征 (MODS) 的主要原因.
- 红细胞分布宽度 (RDW) 是一种与各种疾病相关的血液学参数.
- 在感染老年患者中,RDW和MODS之间的关系需要进一步调查.
研究的目的:
- 调查红细胞分布宽度 (RDW) 与在被诊断患有感染的老年患者中发展多器官功能障碍综合征 (MODS) 之间的联系.
主要方法:
- 从感染的老年患者 (≥65岁) 进行回顾性数据收集.
- 基于年龄和性别的1:3病例控制匹配策略被采用.
- 使用二进制物流回归分析来评估RDW对MODS的影响.
主要成果:
- 这项研究包括576名符合条件的感染老年患者.
- 与对照组相比,MODS组的患者表现出显著更高的RDW水平 (p < 0.001).
- 多变量分析确定RDW是MODS的一个独立风险因素 (OR = 1.397,95%CI: 1.166-1.674,p < 0.001).
结论:
- 红细胞分布宽度 (RDW) 被证实是感染老年患者MODS的独立风险因素.
- 在这个脆弱的患者群体中,增加的RDW可以作为MODS的预测生物标志物.
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