肺胸作为土耳其COVID-19的不良预后指标:一种倾向性得分匹配分析
1Department of Thoracic Surgery, Malatya Training Research Hospital, Malatya Turgut Ozal University Medical Faculty, Malatya, Turkey.
Nigerian journal of clinical practice
|August 30, 2024
概括
在COVID-19患者中的肺胸部与生存率差相关. 机械通风和长时间的症状增加了患肺胸病的风险,这是一个严重的并发症.
科学领域:
- 肺部医学 肺部医学
- 传染性疾病 传染性疾病
- 关键的护理关键的护理
背景情况:
- 自发性肺胸炎是COVID-19患者的罕见但严重并发症,特别是那些需要机械通风 (MV) 的人.
- 肺胸部导致COVID-19相关死亡的比例很小,但很大.
研究的目的:
- 确定与住院COVID-19患者肺胸部发病相关的因素.
- 评估肺胸对COVID-19患者早期生存率的影响.
主要方法:
- 对4799名COVID-19患者的回顾性分析.
- 倾向分数匹配 (PSM) 创建了可比的组进行分析.
- 多重后勤回归确定了与肺胸部相关的因素.
主要成果:
- 在研究队列中,肺胸病的患病率为1.6%.
- 与肺胸炎显著相关的因素包括症状持续时间长,机械通风,中性恋,淋巴缺血和双重抗生素使用.
- 肺胸部与显著较低的生存率 (32.8%与59.7%) 相关.
结论:
- 肺胸部是COVID-19患者生存率不佳的重要预测因素.
- 症状持续时间较长的患者和需要机械通风的患者患肺胸炎的风险较高.
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