[和指数和被启发的氧气分数作为COVID-19的预测因素]
Shareni Berenice Castro-Arellano1, Laura Elizabeth Sandoval-Mosqueda2, Francisco Javier Flores-Murrieta3
1Instituto Mexicano del Seguro Social, Hospital General Regional No. 2 "Dr. Guillermo Fajardo Ortiz", Servicio de Urgencias. Ciudad de México, México.
Revista medica del Instituto Mexicano del Seguro Social
|November 7, 2023
概括
氧和到启发氧分数 (SpO2 / FiO2) 指数有效监测COVID-19肺炎患者的肺功能. 低于310的SpO2/FiO2指数与增加的死亡风险有关.
科学领域:
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
- 临界护理医学 临界护理医学
背景情况:
- 冠状病毒疾病 (COVID-19) 可以导致严重的肺损伤,导致无声缺氧,急性呼吸困扰综合征 (ARDS) 和器官衰竭.
- 氧和和吸入氧的分量 (SpO2/FiO2) 是肺功能的关键指标,并且与COVID-19肺炎患者的死亡率有关.
研究的目的:
- 评估被诊断患有COVID-19肺炎的患者死亡率的氧和指数和吸入氧的分数的预测值.
- 确定SpO2/FiO2指数是否可以作为住院期间肺功能可靠的监测工具.
主要方法:
- 通过使用HGR No.2的患者档案进行了一项追溯,纵向,分析研究.
- 包括确诊的SARS-CoV-2肺炎患者,具有SpO2和FiO2.2的完整记录.
- 排除了需要或不需要补充氧气的患者,那些有不完整记录的患者,以及那些死于非肺部原因的患者.
主要成果:
- 总共分析了175个患者档案.
- 后勤回归确定了几种死亡率预测因素,包括60岁以上的年龄,2型糖尿病 (DM2) 和内管道输管.
- 低于310的SpO2/FiO2指数与死亡率的增加显著相关 (贝叶斯估计[BE]为6.63,信心区间[CI]为2.64-16.65).
结论:
- SpO2/FiO2指数提供了一种可访问,简单和经济的方法,用于在COVID-19肺炎患者中持续监测肺功能.
- 低于310的SpO2/FiO2指数,再加上其他因素,是该患者群体死亡率的重要预测因素.
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