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葡萄糖和水平随着疾病的发生在严重病患者中的预测因素
Željka Dragila1, Andrea Dorokazi2, Damir Mihić3
1Osijek University Hospital Center, Osijek, Croatia.
患有急性损伤的重症患者的葡萄糖水平较低,而败血症患者的含量较高. 较高的葡萄糖水平与死亡率的增加相关,特别是在65岁以上的患者中.
科学领域:
- 关键护理医学 关键护理医学
- 临床化学 临床化学
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 电解质和葡萄糖失衡在重症患者中很常见.
- 了解这些不平衡对于预测疾病结果至关重要.
- 葡萄糖,和常见的严重疾病之间的特定关联需要进一步调查.
研究的目的:
- 研究葡萄糖和水平之间的关系,以及重症患者的诊断和结果.
- 为了确定这些生化标志物与特定的严重疾病 (如急性损伤和败血症) 之间的潜在相关性.
- 确定葡萄糖和水平是否预测重症监护室 (ICU) 环境中的死亡率.
主要方法:
- 在283名入住ICU的重症患者中,对葡萄糖和度的回顾性评估.
- 对患者诊断的分析,包括急性损伤和败血症 (有败血性休克).
- 统计分析以评估葡萄糖/水平与诊断之间的关联,以及死亡率,重点关注年龄.
主要成果:
- 最常见的诊断是急性损伤 (26.1%),与显著降低葡萄糖水平 (p=0.02) 相关.
- 败血症和败血性休克 (22.3%) 与显著更高的度 (p=0.04) 有关.
- 较高的葡萄糖水平与死亡率增加相关 (p=0.001),特别是在65岁以上的患者中,他们也显示出较高的葡萄糖度.
结论:
- 葡萄糖水平与急性损伤和危急病患者,特别是老年人的死亡率有显著的关联.
- 水平在败血症患者中升高,但与生存没有显著联系.
- 这些发现强调了监测危急病患者的葡萄糖和的重要性,以预测结果.
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