在严重的登革热病例中,临床概况和生存预测因素
Zainura Che Isa1, Jo Anne Lim2, Amelia Mohamed Ain3
1Department of Internal Medicine, Hospital Sultan Abdul Halim, Kedah, Malaysia.
Singapore medical journal
|December 1, 2023
概括
在重症监护室 (ICU) 中严重登革热的生存率与特定的临床因素有关. 监测序列器官衰竭评估 (SOFA) 评分和肝酶的监测可以改善登革热患者的结果.
科学领域:
- 热带医学是一种热带医学.
- 传染病 传染病 传染病
- 关键护理医学 关键护理医学
背景情况:
- 登革热在热带地区是一个重大的公共卫生问题.
- 严重的登革热感染带来高死亡和发病风险.
- 确定影响重症监护室 (ICU) 患者生存的因素至关重要.
研究的目的:
- 确定与ICU患者登革热生存相关的因素.
- 评估临床和实验室参数对登革热预测结果的预测值.
主要方法:
- 对被送往ICU的登革热病例进行了回顾性研究.
- 从2016年到2019年在马来西亚Kedah苏丹阿卜杜勒·哈利姆医院收集的数据.
- 分析包括患者的人口统计,并发症,临床表现和实验室结果.
主要成果:
- 严重登革热ICU患者的整体生存率为88.6%.
- 肥胖,高血压和糖尿病是常见的并发症.
- 生存的关键预测因素包括顺序器官衰竭评估 (SOFA) 评分,国际正常化比率,部分血栓形成时间和阿斯巴酸氨基转移酶水平.
结论:
- 早期识别警告信号和及时进入ICU至关重要.
- 监测SOFA分数,凝血概况和肝酶可以提高严重登革热的生存率.
- 这些发现可以为管理重症登革热患者的临床决策提供信息.
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