预测接受体外膜氧化治疗的末期病患者的住院死亡率
Tsung-Yu Tsai1,2, Pei-Chun Fan1,2, Cheng-Chia Lee1,2
1Department of Nephrology, Kidney Research Center, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Cardiorenal medicine
|January 8, 2025
概括
急性生理和慢性健康评估II (APACHE II) 评分有效预测体外膜氧化 (ECMO) 末期病 (ESRD) 患者的住院死亡率. 较高的APACHE II分数表明这种脆弱人群的死亡风险增加.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 关键护理医学 关键护理医学
- 心脏病学 心脏病学
背景情况:
- 身体外膜氧化 (ECMO) 与损伤患者的性结果差,死亡率增加有关.
- 对于ECMO治疗末期脏病 (ESRD) 患者的住院死亡风险尚不清楚.
- 本研究调查了接受ECMO的ESRD患者住院死亡率的预后因素.
研究的目的:
- 评估接受静脉动脉ECMO的ESRD成年患者住院死亡率的预后因素.
- 在这个高风险患者群体中确定生存预测因素.
主要方法:
- 追溯审查76名成年ESRD患者的医疗记录在静脉动脉ECMO.
- 排除在ECMO启动后24小时内死亡的14名患者.
- 收集人口,临床和实验室变量作为潜在的生存预测因素.
主要成果:
- 整体住院死亡率为69.7%.
- 感染是最常见的ECMO相关并发症.
- 在ECMO的第一天,急性生理学和慢性健康评估II (APACHE II) 评分是住院死亡率的独立预测指标 (AUC = 0.788).
- 具有APACHE II评分>29的患者的6个月生存率明显较低 (p < 0.001).
结论:
- 亚帕希II评分是预测ECMO治疗ESRD患者住院死亡率的一个有价值的工具.
- 早期评估APACHE II评分可以帮助风险分层和管理决策.
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