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头部和部瘤性囊炎:缩短的SOFA分数与死亡和感染传播有关
Kelly L Vittetoe1, Samuel R Johnson2, Teresa A Benvenuti3
1Department of Otolaryngology Vanderbilt University Medical Center Nashville Tennessee USA.
与其他地区相比,头部和部死性带炎 (NF) 具有独特的特征,包括较低的死亡率和较少的伴随性疾病,如肥胖和高血压. 使用糖尿病和nfSOFA的预后得分可能有助于早期的患者管理.
科学领域:
- 传染性疾病 传染性疾病
- 手术病理学手术病理学
- 关键护理医学 关键护理医学
背景情况:
- 死性膜炎 (NF) 是一种严重的软组织感染,需要及时诊断和治疗.
- 头部和部 (H&N) 的参与带来了独特的解剖学挑战和潜在的并发症.
- 了解NF的区域差异对于准确的预后和治疗至关重要.
研究的目的:
- 划出区分H&N NF与其他解剖部位的NF的特征.
- 确定预后得分,预测H&N NF患者的不良结果,特别是死亡和下降性死中炎 (DNM).
主要方法:
- 一项回顾性队列研究在1级创伤中心的第三级护理中心进行.
- 分析了399例NF病例 (2006-2021) 的数据,重点关注33例H&N NF病例.
- 根据结果 (死亡/DNM) 对患者进行了分层,以确定相关因素.
主要成果:
- 与其他NF位点相比,H&N NF的死亡率显著降低 (6.06%对20.8%),肥胖和高血压的发病率较低.
- 在H&N队列中,糖尿病 (p=0.047) 和2 (p=0.015) 的死角性膜炎 (nfSOFA) 缩短序列器官衰竭评估得分与糟糕的结果有关.
- 在H&N NF组中发生了2例死亡 (6.06%) 和8例DNM (24.2%) 病例.
结论:
- H&N NF的特点是,在死亡率和常见的并发病方面,其临床特征较轻.
- 糖尿病和高NFSOFA评分 (≥2) 作为H&N NF中不良事件的有价值的早期预后指标.
- 这种预后得分可能有助于早期管理H&N NF,补充标准治疗.
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