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压力高血糖症与肺高血压严重病患者的不良结果有关
Chuyan Long1, Weiguo Fan1, Yang Liu1
1Department of Cardiology, The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.
压力高血糖症,以葡萄糖与HbA1c比率 (GAR) 表示,与重症监护室 (ICU) 肺高血压 (PH) 患者的90天死亡率更高有关. 这一发现突显了这一脆弱人群中显著的预后因素.
科学领域:
- 临界护理医学 临界护理医学
- 内分泌学 在内分泌学.
- 心脏病学 心脏病学
背景情况:
- 压力高血糖症在重症患者中很普遍,与不良结果相关.
- 在肺高血压 (PH) 患者中压力高血糖症的预后意义仍然未确立.
- 肺高血压是一种严重的疾病,通常需要进入重症监护室 (ICU).
研究的目的:
- 调查压力高血糖症与诊断为PH的ICU患者90天全因死亡率之间的关联.
- 评估一种新型指数的有用性,即葡萄糖与HbA1c比率 (GAR),用于评估压力高血糖症.
主要方法:
- 这是一项回顾性队列研究,利用医学信息中心的密切护理IV (MIMIC-IV) 数据库的数据.
- 计算葡萄糖与HbA1c比率 (GAR) 以量化压力高血糖症.
- 统计分析以确定GAR四分位数与90天全因死亡率之间的关联,并对混因素进行调整.
主要成果:
- 分析了414名PH患者的队列,这些患者被接收到ICU.
- 较高的GAR四分位数与较低的肌素,更长的ICU停留和脏疾病的患病率增加有关.
- 在多变量调整后,高GAR与90天死亡风险增加显著相关.
结论:
- 由GAR评估的压力高血糖是ICU患有肺高血压患者90天死亡率增加的重要预测因素.
- 在这种患者群体中,GAR是评估短期预后的宝贵工具.
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