发生败血症,血红蛋白水平和非创伤性出血性脑损伤患者的死亡率之间的关联:基于轨迹的分析分析
Xinyuan Ding1, Guolong Cai2, Shangzhong Chen2
1The Second Clinical Medical College of Zhejiang, Chinese Medical University, Hangzhou, 310053, Zhejiang, China.
European journal of medical research
|March 6, 2025
概括
败血症显著增加了患有出血性脑损伤 (HBI) 的患者的死亡率. 在患有败血症的HBI患者中,血红蛋白水平和死亡率之间的关系并不显著,与没有败血症的患者不同.
科学领域:
- 神经科学是一个神经科学.
- 关键护理医学 关键护理医学
- 血液学 血液学 血液学
背景情况:
- 同时性败血症对非创伤性出血性脑损伤 (HBI) 的预后的影响尚不清楚.
- 在患有败血症的HBI患者中,最佳血红蛋白 (HGB) 水平需要进行调查.
研究的目的:
- 调查败血症对HBI预后的影响.
- 分析HGB轨迹及其与HBI患者的结局的关联,有和没有败血症.
主要方法:
- 利用多变量后勤模型,倾向得分匹配 (PSM) 和反向概率加权回归调整 (IPWRA) 来建立因果关系.
- 采用基于小组的轨迹分析来探索血红蛋白 (HGB) 轨迹和患者结果之间的关联.
- 包括3040名患有非创伤性HBI的患者.
主要成果:
- 与没有败血症的人相比,患有败血症的HBI患者的28天死亡率更高,神经结果更差.
- 在调整混因子 (OR 2.31,95% CI 1.77-3.01) 之后,败血症仍然是死亡的重要预测因素.
- 在没有败血症的HBI患者中观察到HGB水平和死亡率之间的反向关系,但这种趋势在败血症患者中无意义.
结论:
- 同时性败血症与HBI患者的死亡率增加有关.
- 在HBI患者中,较高的血红蛋白水平和降低的死亡率之间的保护性关联在败血症存在时减弱.
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