在急性缺血性中风患者中,压力高血糖率与死亡率之间的关联
Yaxin Zhang1, Xinxin Yin1, Tingting Liu2
1Department of Neurology, Xiamen Humanity Hospital, Fujian Medical University, Xiamen, 361009, Fujian, China.
Scientific reports
|September 9, 2024
概括
压力高血糖比率 (SHR) 预测急性缺血性中风 (AIS) 患者的死亡率更高. 这种关联甚至适用于糖尿病患者,表明SHRR.
科学领域:
- 神经学 神经学
- 内分泌学 在内分泌学.
- 关键护理医学 关键护理医学
背景情况:
- 压力高血糖是已知的并发症.
- 压力高血糖率 (SHR) 量化了这种反应.
- 它在急性缺血性中风 (AIS) 的预后价值需要进一步调查.
研究的目的:
- 研究AIS患者的SHR和临床预后之间的关系.
- 评估糖尿病状况对这种关联的影响.
主要方法:
- 来自MIMIC-IV数据库的数据分析.
- 包括2029名需要接受ICU治疗的AIS患者.
- 考克斯危险回归和受限立方线 (RCS) 分析的应用.
主要成果:
- 较高的SHR水平与增加的全因死亡率相关.
- 在较高的SHR三角动物中观察到30天和90天的死亡率升高.
- 在不同的糖尿病状态中,SHR和死亡率之间的关联持续存在.
结论:
- SHR是AIS患者风险分层的一个有价值的标志物.
- 它独立地与短期和中期死亡率的增加有关.
- 在糖尿病和非糖尿病AIS人群中,SHR的预后意义显而易见.
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