作为预测死亡率和重症COVID-19患者多器官功能障碍综合征的氧气负债:一项回顾性研究
Michel Perez-Garzon1,2, Claudia Poveda-Henao1,2,3, Alirio Bastidas-Goyes1
1Department of Medicine, Universidad de La Sabana. Chia Cundinamarca. Bogotá DC, Colombia.
氧气负债 (DEOx) 显示出与预测死亡率和严重COVID-19患者器官功能障碍的既定评分系统相似的预测价值. 这一发现可能有助于对重症患者的早期干预.
科学领域:
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
- 生理学 生理学 生理学
背景情况:
- 氧气负债 (DEOx) 与代谢问题,酸性疾病,疾病严重程度和死亡率有关.
- 预测严重急性呼吸系统综合征冠状病毒2型 (SARS-CoV-2) 患者的结果至关重要.
研究的目的:
- 评估氧气负债 (DEOx) 作为多器官功能障碍综合征 (MODS) 和28天死亡率的预测因素.
- 在SARS-CoV-2 ICU患者中比较DEOx与APACHE II,SOFA和4C评分的可靠性.
主要方法:
- 708名患有SARS-CoV-2感染的ICU患者的回顾性队列研究 (2020-2021年).
- 在ICU入院时计算的DEOx,APACHE II,SOFA和4C分数.
- 使用多变量逻辑回归和AUROC分析来比较预测准确度.
主要成果:
- 死亡率为44.4%,死亡率为44%. DEOx独立地与死亡率,输管和损伤有关.
- DEOx的预测值与APACHE II,SOFA和4C分数的预测值相似.
- 在AUROC的分析中,所有分数都显示出相似的,尽管很弱的歧视.
结论:
- 德奥克斯的预测值与严重疾病的SARS-CoV-2患者的确定的得分相当.
- DEOx与其他分数的相关性可能使在重症监护机构的早期干预成为可能.
更多相关视频
08:35Oxygenation-sensitive Cardiac MRI with Vasoactive Breathing Maneuvers for the Non-invasive Assessment of Coronary Microvascular Dysfunction
Published on: August 17, 2022
14:48Visualizing Lung Cellular Adaptations during Combined Ozone and LPS Induced Murine Acute Lung Injury
Published on: March 21, 2021
相关概念视频
Acute Respiratory Failure-IV
Pneumothorax-I
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Acute Respiratory Failure-II
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
Oxygen Transport in the Blood
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Special considerations while measuring oxygen saturation
Ensuring accuracy in vital sign recordings while prioritizing patient comfort and minimizing anxiety is...
