术后乳酸预测急性甲型大动脉解剖患者的住院死亡
Yanjuan Lin1, Yuanyuan Tao2, Yanchun Peng3
1Department of Nursing, Fujian Medical University Union Hospital.
International heart journal
|July 30, 2023
概括
手术后的乳酸水平是急性A型大动脉解剖手术 (AAAD) 患者住院死亡率的重要预测因素. 将乳酸与体重指数和心肺旁路时间结合起来,可以改善死亡率的预测.
科学领域:
- 心血管外科心血管外科
- 关键护理医学 关键护理医学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 乳酸盐水平与心脏病患者的手术结果相关.
- 在急性A型大动脉剖析 (AAAD) 中术后乳酸的预后价值尚未得到充分确立.
研究的目的:
- 研究AAAD患者的术后乳酸盐和住院死亡率之间的关系.
- 评估乳酸作为AAAD手术后住院死亡率的预测因素.
主要方法:
- 357名接受AAAD手术的患者的回顾性研究 (2020年2月 - 2022年1月).
- 使用多变量逻辑回归和接收器操作特征 (ROC) 曲线分析.
- 评估乳糖,体重指数 (BMI) 和心肺旁路 (CPB) 时间作为预测指标.
主要成果:
- 手术后的乳酸 (OR = 1.291,P < 0.001),BMI (OR = 1.099,P = 0.017) 和CPB时间 (OR = 1.005,P = 0.039) 是住院死亡的独立风险因素.
- 乳酸盐对住院死亡率的预测能力中等 (AUC = 0.729).
- 乳酸,BMI和CPB时间的组合显示出优异的预测性能 (AUC = 0.780).
结论:
- 手术后的乳酸盐与AAAD患者的住院死亡率显著相关.
- 乳酸作为在医院死亡率的潜在预测剂.
- 结合乳糖,BMI和CPB时间,与单个因素相比,可以更好地预测住院死亡率.
关键词:
住院死亡率 住院死亡率
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