在慢性重症患者中甲状腺激素水平的长期预后值
Zhaoxiang Li1,2, Liang Wang1, Jianling Shi1
1Department of Critical Care Medicine, The First Hospital of China Medical University, Shenyang, China.
Annals of medicine
|March 21, 2025
概括
非甲状腺疾病综合征 (NTIS) 在慢性严重疾病 (CCI) 中影响甲状腺激素功能障碍. 较低的FT3和FT4水平预测这些患者的90天死亡率更高,有助于早期风险识别.
科学领域:
- 内分泌学 在内分泌学.
- 关键护理医学 关键护理医学
- 预测生物标志物 预测生物标志物
背景情况:
- 慢性严重疾病 (CCI) 经常与甲状腺激素功能障碍有关.
- 非甲状腺疾病综合征 (NTIS) 是CCI患者常见的表现.
- 在CCI中理解NTIS对于预测患者的结果至关重要.
研究的目的:
- 评估NTIS对CCI患者预后的预测价值.
- 开发一个CCI患者预测结果的预测模型.
- 评估模型在临床干预中的有效性.
主要方法:
- 对545名成年CCI患者进行前性观察性研究.
- 主要结局: ICU 入院后的90天死亡率.
- 诺莫格拉姆使用协同指数和校准曲线开发和验证.
主要成果:
- 在65.3%的患者中观察到NTIS;与更长的通风和更高的死亡率有关.
- 较低的自由三甲状腺素 (FT3) 和自由甲状腺素 (FT4) 水平与降低的生存率相关.
- 独立的预后因素包括年龄,SOFA分数,手术类型,FT4和TSH水平.
结论:
- 在ICU入院第10天的血清FT3和FT4降低预测了CCI的90天死亡率.
- 对FT3和FT4的早期监测有助于识别高风险的CCI患者.
- 这支持有针对性的临床干预,以改善CCI患者管理.
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