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在医院获得的超血病的结果
Soraya Arzhan1,2, Maria-Eleni Roumelioti1, Igor Litvinovich1
1Division of Nephrology, Department of Internal Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexico.
Clinical journal of the American Society of Nephrology : CJASN
|September 18, 2023
概括
医院获得的高血症显著增加了医院内的死亡率和不良的出院安排,如宿舍或护理设施. 在慢性病 (CKD) 的所有阶段,这种风险都很高.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医院 医院 医疗 医疗 医疗 医疗
- 关键护理医学 关键护理医学
背景情况:
- 医院获得的高血是常见且严重的并发症.
- 它经常被忽视,并与患者的不良结果有关.
- 关于其影响的研究有限,特别是在慢性病 (CKD) 方面.
研究的目的:
- 调查医院获得的高血和医院死亡率之间的关联.
- 检查不同功能患者对出院倾向的影响.
- 分析患有和没有CKD的患者的结局.
主要方法:
- 一个观察性回顾性队列研究.
- 利用了来自Cerner健康事实数据库 (2000-2018) 的1,728,141名患者的数据.
- 员工调整了多项式回归模型来评估协会.
主要成果:
- 在住院患者中,有6%的患者患上了超血症.
- 住院死亡率为高血症的12%,与正常血症的1%相比.
- 超血症 (血清Na>145mEq/L) 显著增加死亡率 (OR 14.04) 和不良排放.
结论:
- 医院获得的高血是医院死亡的一个重要危险因素.
- 它还与出院到宿舍或护理机构有关.
- 这些关联在CKD的所有阶段都存在.
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