患有急性-慢性呼吸困难时入院的预测因素:二进制逻辑回归
Ann Hutchinson1, Alastair Pickering2, Paul Williams2
1University of Hull, Hull, United Kingdom.
PloS one
|August 15, 2023
概括
高龄,较低的氧和和心脏病史预测急诊室的急性-慢性呼吸困难. 这些因素可以帮助确定是否需要医院护理.
科学领域:
- 紧急医疗 紧急医疗
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
背景情况:
- 呼吸困难是急诊室和医院入院的常见原因之一.
- 急性-慢性呼吸困难占救护车紧急情况的20%,入院率为69%.
- 急诊室可能不是所有患有急性-慢性呼吸困难的患者最合适的环境.
研究的目的:
- 为了确定急性-慢性呼吸困难患者急诊室出院状态的预测因素.
- 分析影响急性-慢性呼吸困难患者入院决策的因素.
主要方法:
- 对患者调查和临床记录数据的二次分析.
- 使用单因素分析 (p<0.05) 和二进制逻辑回归来识别预测因素.
- 包括来自单一三级医院的171名急性-慢性呼吸困难患者.
主要成果:
- 年龄较大,氧和水平较低,先前因喘息而咨询专家,以及心脏病病史与入院几率增加有关.
- 具体来说,每增加一年的年龄都会增加入学率 (OR 1.041).
- 氧和度的每一个百分比增加都会降低入院几率 (OR 0.826).
结论:
- 老年,氧气和降低,事先咨询专家,心脏病史是急性-慢性呼吸困难入院的关键预测因素.
- 这些临床因素可以在社区中进行评估.
- 对这些因素的评估可以指导有关将患者运送到急诊室的决定.
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