血液感染的老年患者的风险因素和死亡结果:回顾性分析
Shahin Shah1, Muhammad D Nadeem2, Junaid Ali3
1General Medicine, Medlife Medical Center, Abu Dhabi, ARE.
老年患者的血液感染 (BSI) 是一个严重的威胁,死亡率为44.6%. 临床严重程度,以SOFA评分为指标,是这些脆弱患者死亡的主要预测因素.
科学领域:
- 传染性疾病 传染性疾病
- 老年病的医生 老年病的医生
- 关键护理医学 关键护理医学
背景情况:
- 血流感染 (BSI) 在老年住院患者中具有显著的死亡风险.
- 在老年人中确定BSI死亡率的预测因素对于有效的临床管理至关重要.
研究的目的:
- 评估与老年患者的BSI相关的死亡率.
- 确定该人口群体中BSI死亡率的预测因素.
主要方法:
- 对186名患有BSI的老年住院患者 (≥65岁) 的回顾性横截面分析.
- 收集的数据包括人口统计,风险因素和临床严重性得分 (SOFA,查尔森并发症指数).
- 使用SPSS进行的统计分析,版本 26.0.0.
主要成果:
- 在老年患者中,BSI的总死亡率为44.6%.
- 较高的SOFA分数 (中位数为6比2) 和查尔森并发症指数 (5±2比3±2) 与非生存有显著的相关性.
- 免疫抑制和グラム阳性细菌感染在未幸存者中更为频繁.
结论:
- 高龄人群的BSI与大量的住院死亡率有关.
- 入院时的SOFA分数是BSI老年患者死亡的最强预测因素.
- 呼吸道引起的BSI和ICU入院增加了死亡风险.
更多相关视频
05:53Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty
Published on: July 24, 2013
08:30One-day Workflow Scheme for Bacterial Pathogen Detection and Antimicrobial Resistance Testing from Blood Cultures
Published on: July 9, 2012
相关概念视频
Factors Affecting the Risk of Infection
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Factors affecting Blood pressure
Physiological Factors:
Pneumonia I: Introduction
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
Pneumonia III: Complications and Assessment
