在心力衰竭患者中C-NLR的临床预后影响心力衰竭患者有不同的射出分数:一项回顾性研究
Fazhi Yang1, Lihua Zhang2, Wei Huang3
1Department of Cardiology, Kunming Medical University First Affilliated Hospital, City, Kunming, Yunnan Province, China.
BMC cardiovascular disorders
|January 17, 2024
概括
结合C-反应蛋白和中性粒细胞与淋巴细胞比率的C-NLR指数,有效预测慢性心力衰竭 (CHF) 患者的死亡风险. 这一新指标有助于临床医生识别高风险个体,以更好地管理预后.
科学领域:
- 心脏病学 心脏病学
- 免疫学 免疫学 免疫学
- 生物标志物研究 生物标志物研究
背景情况:
- 炎症状况和免疫系统疾病会对慢性心力衰竭 (CHF) 患者的预后产生负面影响.
- 确定可靠的预后标志物对于管理CHF患者至关重要.
研究的目的:
- 评估新型C-NLR指数对心力衰竭 (HF) 患者全因死亡风险的预后价值.
- 为了评估C-NLR在HF患者在不同的喷射分数类别.
主要方法:
- 招募了1221名CHF患者;从2017年1月到2021年10月收集的数据.
- 患者根据中位数C-NLR水平进行了分层. 使用了卡普兰-梅尔曲线和考克斯比例危险模型.
- 接收器运行特性 (ROC) 分析评估了C-NLR的预测值.
主要成果:
- 分析包括1192名心血管疾病患者.
- 卡普兰-梅尔分析表明,C-NLR较低的患者的整体存活率更好.
- 多变量考克斯分析证实C-NLR是死亡率的独立预测因子.
结论:
- C-NLR是具有不同喷射分数的HF患者死亡率的有能力的独立预测器.
- 常规C-NLR测量可以帮助临床医生识别预后不佳的患者.
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