患有急性损伤的儿童的预后因素 需要持续的置换疗法
Jhao-Jhuang Ding1,2, Shao-Hsuan Hsia3, Tang-Her Jaing4
1Department of Pediatrics, New Taipei Municipal TuCheng Hospital, New Taipei City, Taiwan.
Blood purification
|January 7, 2024
概括
在接受连续置换疗法 (CRRT),骨髓移植 (BMT) 和高儿科序列器官衰竭评估 (pSOFA) 评分的重症儿童中,预测死亡率. 高水平的纤维素素与晚期慢性病 (CKD) 有关.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 腎臟病學 (nephrology) 是一種醫學.
- 脏替代疗法是指脏替代疗法.
背景情况:
- 持续置换疗法 (CRRT) 对重症儿童至关重要.
- 在这个人群中确定预后因素对于改善结果至关重要.
研究的目的:
- 评估儿童重症监护室 (PICU) 接受CRRT的患者的预后因素和结果.
- 确定90天死亡率和晚期慢性病 (CKD) 的风险因素.
主要方法:
- 对接受CRRT的75名PICU患者的回顾性分析.
- 主要结局:90天死亡率. 二次结局:晚期的CKD (eGFR<60毫升/分钟/1.73米2).
- 使用多变量考克斯回归和后勤回归分析.
主要成果:
- 90天死亡率为53%;晚期CKD发生在29%的患者中.
- 90天死亡率的独立风险因素包括先前的骨髓移植 (BMT) 和高儿科序列器官衰竭评估 (pSOFA) 评分.
- 在CRRT开始时血清纤维素水平较高与幸存者中晚期CKD的发展有关.
结论:
- 骨髓移植和高PSOFA分数是CRRT重症儿童死亡率的重要预测因素.
- 在CRRT开始时血清纤维素水平升高可能表明治疗后患有晚期CKD的风险更高.
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