基于临床形状,实验室参数和临床管理评估COVID-19患者的结果:一项回顾性观察性研究
Shivani Khullar1, Varun Kothari1, Ruchi Kothari2
1Department of Microbiology, Dr. SN Medical College, Jodhpur, Rajasthan, India.
这项研究确定了2019年冠状病毒病 (COVID-19) 的重症监护室 (ICU) 患者的关键死亡预测因素. 伴随性疾病如高血压和异常的实验室结果显著影响了结果,突出了改善重症监护策略的领域.
科学领域:
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 由于COVID-19的流行,需要了解影响患者结果的因素.
- 评估临床资料,实验室发现和管理对于改善COVID-19治疗和降低死亡率至关重要.
- 这项研究旨在确定COVID-19的重症监护室 (ICU) 患者的死亡率预测因素.
研究的目的:
- 评估COVID-19确诊的重症监护室 (ICU) 患者的死亡预测因素.
- 分析临床特征,并发症和患者结果之间的关联.
- 确定导致严重COVID-19病例死亡率较高的因素.
主要方法:
- 从医疗记录中对患者数据进行回顾性分析.
- 包括2020年3月至2021年7月期间通过RT-PCR确认的COVID-19的202名ICU患者.
- 退院和死亡患者之间的结果的统计比较.
主要成果:
- 男人占主导地位 (72.8%),平均年龄为58.42岁.
- 发烧 (92%),咳 (48.5%) 和呼吸障碍 (35%) 是常见的症状.
- 高血压 (38) 和2型糖尿病 (36) 是常见的并发症;高血压与结果有显著的关联.
- 身体温度升高,呼吸速率,低氧和和机械通风使用是重要的因素.
结论:
- 潜在的并发症和并发症,如ARDS显著增加COVID-19患者的死亡风险.
- 异常的实验室参数与ICU患者结果的显著差异有关.
- 识别这些预测因素可以告知有针对性的干预措施,并改善COVID-19患者的临床护理.
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