麻症可以预测由于急性胆囊炎引起的败血症的不良预后吗?
Han Bit Kim1, Soh Yeon Chun1, Gi Woon Kim1
1Department of Emergency Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Republic of Korea.
The American journal of emergency medicine
|August 24, 2023
概括
由psoas肌肉区域识别的sarcopenia与急性胆囊炎的败血症的更糟糕结果有关. 患有肉类症的患者面临更高的ICU入院,更长的住院时间,以及增加的住院死亡率.
科学领域:
- 医学科学 医学科学 医学科学
- 临床医学 临床医学
- 败血症研究 败血症研究
背景情况:
- 败血症构成重大威胁,需要早期预后预测才能有效治疗.
- 急性胆囊炎是败血症的常见原因,影响患者的治疗结果.
- 鉴定败血症的预后标志物对于临床管理至关重要.
研究的目的:
- 为了研究通过psoas肌区域评估的肉类症与源于急性胆囊炎的败血症的预后之间的关联.
- 确定萨科佩尼亚是否是这种患者群体中败血症结果的预测因素.
主要方法:
- 对因急性胆囊炎而导致败血症的成年患者进行了回顾性,单中心的观察性研究.
- 肌肌肉指数 (PMI) 计算使用L3处的肌肌面积,调整以高度为准.
- 根据性别特异性PMI截止值定义的肉类;主要结果:住院死亡率;次要结果:ICU入院,住院时间 (LOS),14天死亡率.
主要成果:
- 包括374名患者;在94名 (25.1%) 患者中发现了sarcopenia.
- 石症与急症监护室住院率 (OR 1.98) 和住院死亡率 (OR 6.40) 的增加显著相关.
- 麻症患者的住院时间中位数显著更长 (11.5天与8天).
结论:
- 根据PMI的指示,肉症是由于急性胆囊炎引起的败血症不良结果的重要预测因素.
- 研究结果表明,对这些患者进行皮症评估可能有助于风险分层和治疗规划.
- Sarcopenia 的早期识别可能会导致对败血症患者的改善管理策略.
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