评估NAPLES预后得分,预测肺栓塞患者的长期死亡率
1Department of Chest Diseases, Selahaddin Eyyübi State Hospital, Diyarbakır 21100, Turkey.
Diagnostics (Basel, Switzerland)
|February 13, 2025
概括
纳普尔斯预后评分 (NPS) 表示急性肺栓塞 (APE) 患者的预后不佳. 较高的NPS得分与生存率的降低有关,这表明对这些人进行更密切的监测.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 内部医学 内部医学
背景情况:
- 急性肺栓塞 (APE) 是一种危及生命的疾病,死亡率高.
- 在APE管理中的诊断和治疗延迟导致死亡率增加和住院时间延长.
- 系统性炎症在APE中发挥作用,导致预后指数的发展.
研究的目的:
- 在被诊断为APE的患者中,评估NAPLES预后得分 (NPS) 的预后值.
- 为了研究NPS和APE患者的长期死亡率之间的关系.
- 建立未来关于NPS在APE预后中的研究的基础.
主要方法:
- 从2014年3月至2024年4月期间诊断的436名APE患者 (年龄≥18岁) 的临床数据的回顾性分析.
- 根据NPS,患者被分为两组.
- 进行了统计分析,以比较使用SPSS版本21.0.0的组之间的长期死亡率.
主要成果:
- 患有NPS 3-4的患者呈现出统计学上显著较低的生存率 (p < 0.05).
- 多变量回归分析没有发现NPS对3个月死亡率的显著影响,除了乳酸水平.
- 发现NPS的短期预后值与简化肺栓塞严重性指数 (sPESI) 评分相当.
结论:
- 升高的NPS与APE患者的预后较差有关.
- 有高NPS分数的APE患者的频繁监测可能是合理的.
- NPS显示出作为评估APE预后的有价值工具的潜力.
更多相关视频
07:25Predicting Amputation using Local Circulating Mononuclear Progenitor Cells in Angioplasty-treated Patients with Critical Limb Ischemia
Published on: September 22, 2020
3.4K
09:31Normothermic Negative Pressure Ventilation Ex Situ Lung Perfusion: Evaluation of Lung Function and Metabolism
Published on: February 14, 2022
2.0K
相关概念视频
Pulmonary Embolism I: Introduction
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
Pulmonary Embolism III: Nursing Management
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
Pulmonary Embolism I: Introduction
A blood clot, or thrombus, is a semi-solid mass composed of fibrin, platelets, and red blood cells. When it forms within a vessel, it can obstruct blood flow, known as thrombosis. If part of the clot detaches, it becomes an embolus that can travel and block distant vessels. When this occurs in the pulmonary arteries, it causes a condition known as pulmonary embolism (PE).Origin and ImpactMost often, the embolus originates from a thrombus in the deep veins of the lower limbs, a condition called...
