住院时D-二次数升高可能预测儿童流感相关脑病变的预后不佳
Huizhen Wang1, Lingkong Zeng1, Xingfeng Cheng2
1Department of Neonatal Intensive Care Unit, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, , Huazhong University of Science and Technology, Wuhan, 430016, China.
Scientific reports
|January 24, 2025
概括
流感相关脑病变 (IAE) 通常会导致不良结果. 较高的D-二聚物水平被认为是预测IAE儿童预后不佳的重要独立风险因素.
科学领域:
- 儿科重症监护室的儿童重症监护室
- 神经学 神经学
- 传染性疾病 传染性疾病
背景情况:
- 流感相关脑病变 (IAE) 是儿童流感感染的严重神经并发症.
- 识别不良预后的风险因素对于及时干预和改善患者结果至关重要.
研究的目的:
- 确定与被诊断患有IAE的儿童预后不佳相关的独立风险因素.
- 在评估IAE预后时评估D-二聚物水平的预测价值.
主要方法:
- 从2022年1月到2023年12月,对56名IAE儿童在儿科重症监护室接受治疗的回顾性分析.
- 使用单变量和二进制逻辑回归分析来确定预后不佳的风险因素.
主要成果:
- 几乎一半 (46.4%) 的孩子的预后不好.
- 提升的D-二聚物水平被确定为预后不佳的独立风险因素 (OR=1.440,P=0.023).
- D-二元水平≥1.18 mg/L FEU预测预后不佳,敏感度为65.4%,特异性为96.7%.
结论:
- IAE与预后不佳的高发病率有关.
- D-二聚子是预测儿科IAE的不良预后的有价值的生物标志物.
- 由于研究的局限性,需要进一步的多中心研究来验证这些发现.
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