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周围输液指数可以预测COVID-19患者在急诊室的疾病死亡率吗?

Mehmet Gokhan Kaya¹, Ahmet Demir², Mehmet Reha Yilmaz²

¹Emergency Medicine Service, Yatagan State Hospital, Yatagan, Mugla, Turkey.

|August 21, 2024

概括

周围输液指数 (PPI) 可以预测住院COVID-19患者的死亡率. 入院时较低的PPI值表明住院死亡风险较高,为风险评估提供了一个新的工具.

科学领域:

关键护理医学关键护理医学
心血管生理学心血管生理学
传染性疾病传染性疾病

背景情况:

新型冠状病毒疾病2019 (COVID-19) 肺炎构成了全球重大健康挑战.
周围输液指数 (PPI) 在创伤和败血症等疾病中表现出预后价值.
需要调查PPI作为COVID-19患者死亡率预测者的潜力.

研究的目的:

调查COVID-19患者入院和住院死亡率的外周输液指数 (PPI) 之间的关联.
评估PPI作为COVID-19感染的潜在新型死亡率预测工具.
确定影响住院COVID-19患者死亡率的关键因素.

主要方法:

在土耳其的第三级护理中心进行的一项回顾性观察性研究.
包括2022年2月15日至2023年4月15日期间被诊断患有COVID-19的成年患者.
人口,临床数据,生命体征,实验室参数和入院PPI从电子数据库中收集.

主要成果:

在200名COVID-19患者中,42名 (21%) 患有住院死亡.
幸存者和非幸存者之间在年龄,氧和度,呼吸速率,PPI,尿素,肌素,白细胞 (WBC) 计数和高度敏感的心脏Troponin T (hs-cTnT) 水平方面观察到显著差异.
住院死亡率的独立预测因素包括hs-cTnT>21.25 pg/mL,PPI<2.15,氧和<87%,以及WBC>9680 x10^3/mL.

结论:

入院周围输液指数 (PPI) 与COVID-19死亡率有显著联系.
PPI可以作为紧急部门的可行标记,用于识别高风险的COVID-19患者.
这项研究确定了影响COVID-19患者住院死亡率的关键因素.

关键词:

在 COVID-19 疫情中,应急部门的紧急情况部门.住院死亡率住院死亡率周边 perfusion 指数是指周边 perfusion 指数是指周边 perfusion 指数是指周边 perfusion 指数.

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