非甲状腺疾病综合征和在败血症中传播的血管内凝血之间的关联
1Departments of Emergency, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200025, People's Republic of China.
Journal of inflammation research
|February 2, 2024
概括
非甲状腺疾病综合征 (NTIS) 是浸症患者传播性血管内凝血 (DIC) 的重要独立风险因素. 患有NTIS和DIC的败血症患者面临更高的死亡率.
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.
- 血液学 血液学 血液学
背景情况:
- 败血症经常导致非甲状腺疾病综合征 (NTIS) 和扩散性血管内凝血 (DIC).
- 了解在败血症中NTIS和DIC之间的关系对于患者的治疗结果至关重要.
研究的目的:
- 调查成年败血症患者NTIS和DIC之间的关联.
- 评估同时发生的NTIS和DIC对毒相关死亡率的影响.
主要方法:
- 从两个学术中心分析了一组1219名成人败血症患者的队列.
- 使用后勤和修改的波桑回归模型来评估风险因素和死亡率.
- 相关性分析检查了甲状腺功能和凝血参数之间的关系.
主要成果:
- NTIS被确定为在败血症中发展DIC的独立风险因素 (OR 3.19).
- 患有DIC和NTIS的败血症患者的28天死亡率显著增加 (23.2%对14.0%).
- 甲状腺功能参数与败血症的凝血标志物有很弱的相关性.
结论:
- NTIS是成人败血症中DIC的重要独立预测因子.
- 在患有DIC的败血症患者中,NTIS的存在与疾病严重程度和死亡率的增加有关.
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