败血症查工具用于预测糖尿病酸性脂肪酸症的感染触发因素和结果
Abhishek Kumar1, Ashok Kumar Pannu1, Mohan Kumar1
1Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Nehru Hospital, Chandigarh, 160012, India.
Biomarkers in medicine
|January 12, 2024
概括
在糖尿病酸症 (DKA) 中早期预测感染是困难的. 败血症查工具对预测DKA患者感染和死亡率的准确性有限.
科学领域:
- 关键护理医学 关键护理医学
- 内分泌学 在内分泌学.
- 传染性疾病 传染性疾病
背景情况:
- 糖尿病酸性 (DKA) 对早期感染检测提出了诊断挑战.
- 感染是DKA病例的常见原因之一.
研究的目的:
- 评估各种败血症查工具在预测DKA患者感染中的有效性.
- 评估这些工具对DKA患者的预后结果的预后准确性.
主要方法:
- 未来的队列研究设计.
- 包括141名被诊断患有DKA的患者.
- 对多种败血症查标准的评估,包括SOFA,SIRS,NEWS和qSOFA.
主要成果:
- 在44.0%的病例中,感染被确定为诱发因素.
- 序列器官衰竭评估 (SOFA) 评分≥4显示高特异性但低灵敏性.
- 系统性炎症反应综合征 (SIRS) ≥2显示高灵敏度但高错误阳性率.
结论:
- 目前的败血症查工具在DKA中识别感染时具有有限的预测价值.
- 这些工具在预测DKA患者的死亡风险方面也表现不佳.
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