评估创伤患者压力指数的预后值
Pao-Jen Kuo1, Ching-Ya Huang1, Shiun-Yuan Hsu2
1Department of Plastic Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, 83301, Taiwan.
Heliyon
|September 12, 2024
概括
压力指数 (SI) 是血清葡萄糖与的比例,有效预测创伤患者的死亡率. 更高的SI值与增加的住院死亡率和更长的住院时间相关,表明其预后价值.
科学领域:
- 创伤护理的护理人员.
- 临床生物化学 临床生物化学
- 预测指标 预测指标
背景情况:
- 压力指数 (SI),定义为血清葡萄糖与的比率,是一种潜在的预后指标.
- 它在创伤患者中的预测价值需要进一步评估.
研究的目的:
- 评估压力指数 (SI) 对成年创伤患者结果的预测值.
- 评估SI与住院死亡率和其他临床结果之间的关联.
主要方法:
- 对20040名成年创伤患者进行了回顾性分析.
- 在急诊室到达时使用血清葡萄糖和水平计算SI.
- 多变量逻辑回归分析以确定SI作为独立预测器.
主要成果:
- 与幸存者 (39.5 ± 17.5) 相比,致命结局的患者的SI显著更高 (59.7 ± 30.6).
- SI是死亡率的一个独立预测指标 (OR 4.65,95% CI:2.61-8.27).
- 高SI组 (≥42.7) 显示出更高的住院死亡率 (7.5%对1.4%) 和更长的住院时间.
结论:
- 压力指数 (SI) 是一种简单而有价值的预后工具.
- SI有助于创伤患者的风险分层.
- 它可以帮助预测结果,并指导创伤护理中的临床管理.
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