图表衍生的脆弱指数和烧伤手术后90天的死亡率
Jihion Yu1, Yu-Gyeong Kong2, Jun-Young Park1
1Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
The Journal of surgical research
|October 8, 2023
概括
烧伤患者的高脆弱指数 (CFI) 预测了更高的90天死亡率和并发症. 这种图表衍生的脆弱性指数是评估烧伤重症监护室患者手术风险的宝贵工具.
科学领域:
- 外科手术 医疗外科手术
- 临界护理医学 临界护理医学
- 老年病的医生 老年病的医生
背景情况:
- 虚弱是一种降低生理储备的状况,与术后发病率和死亡率的增加有关.
- 图表衍生脆弱性指数 (CFI) 使用人口和实验室数据量化脆弱性.
研究的目的:
- 评估手术前图表衍生脆弱指数 (CFI) 和烧伤手术后90天死亡率之间的关联.
- 评估高CFI与其他不良术后结果的相关性.
主要方法:
- 从2012年到2021年,对1118名烧伤重症监护室 (ICU) 患者进行了回顾性研究.
- 使用年龄,BMI,血红素,白蛋白和肌素计算的CFI;高CFI定义为3-5的得分.
- 评估的结果包括90天死亡率,主要心脏不良事件 (MACE),肺炎,连续脏替代疗法 (CRRT) 和长时间的ICU停留.
主要成果:
- 13.1%的患者具有高CFI.
- 高CFI显著与90天死亡率增加有关 (38.8%与22.6%,P<0.001).
- 高CFI患者的MACE,肺炎,CRRT和长时间的ICU停留率更高.
结论:
- 手术前高CFI是烧伤手术后90天死亡率增加的强有力的预测因素.
- 高CFI也与较大的术后并发症发生率有关,包括MACE,肺炎和功能衰竭.
- 图表衍生的脆弱性指数是烧伤手术患者风险分层的一个有用工具.
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