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超血症:流行病学和预测作用在新出现和已确定的急性损伤中
Clara Jansch1, Igor Matyukhin1, Marahrens Marahrens1
1Department of Internal Medicine I - Cardiology, Nephrology and Internal Intensive Medicine Brandenburg University Hospital, Brandenburg Medical School (Theodor Fontane), Brandenburg an der Havel, Germany.
Journal of clinical medicine research
|October 12, 2023
概括
住院超血症是一种高水平的疾病,与增加的死亡风险有关. 它还可以作为急性损伤 (AKI) 和相关死亡的早期指标.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 内部医学 内部医学
- 关键的护理关键的护理
背景情况:
- 超血 (血>145mmol/L) 表示水平衡受损,并可能导致严重的神经症状.
- 低血是最常见的医院电解质障碍,在急性损伤 (AKI) 中具有预后价值.
研究的目的:
- 总结医院内获得的高血的流行病学和结果.
- 讨论超血症在患有新兴或已确定的AKI的患者中的预测作用.
主要方法:
- 在五个数据库 (PubMed,Medline,Google Scholar,Scopus,Cochrane Library) 进行了系统的文献搜索,寻找2000年至2023年间发表的研究.
- 关键词包括"高血症"",死亡率"",急性损伤"",AKI"",低血症"和"置换疗法".
- 总共包括了16项研究,主要是回顾性 (13项研究),重点关注高血症流行病学,结果和AKI关联.
主要成果:
- 医院获得的高血的患病率从1.9%到6.8%不等 (其中一个异常值为30.8%).
- 所有包括的研究都报告了高血和增加的死亡率之间的显著联系,超出了医院出院的范围.
- 在AKI患者中,高血显示出预测住院死亡率的潜力.
结论:
- 超血症患者在住院期间面临更高的死亡风险.
- 超血症可能作为AKI发病和相关死亡率的预测生物标志物.
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