对紧急重症监护病房中的COVID-19患者的分析:回顾性研究研究
Harun Yildirim1, Murtaza Kaya1
1Department of Emergency Medicine, Kutahya Health Sciences University, Kutahya, Turkiye.
JPMA. The Journal of the Pakistan Medical Association
|April 24, 2025
概括
年龄,性别和特定的实验室标记可以预测2019年冠状病毒病患者的死亡率. 这些发现有助于监测重症患者并识别那些风险较高的患者.
科学领域:
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
- 临床病理学 临床病理学
背景情况:
- 新型冠状病毒疾病-2019 (COVID-19) 构成重大威胁,特别是在重症监护机构的患者身上.
- 在严重的COVID-19病例中预测死亡率对于资源分配和患者管理至关重要.
研究的目的:
- 确定主要的人口统计和实验室参数,用于预测COVID-19患者的死亡率,这些患者被送入大流行病重症监护室.
- 分析各种临床和实验室发现与患者结果之间的关联.
主要方法:
- 一项回顾性研究分析了2020年11月至2021年4月期间被送往大流行重症监护病房的164名成年患者的医疗记录.
- 收集的数据包括人口统计,并发症,血液图参数,急性阶段反应物和生物化学标记.
- 使用SPSS 20进行统计分析.
主要成果:
- 该研究包括164名患者 (55.5%男性),死亡率为61.6% (101例死亡).
- 与出院患者 (平均年龄为67.69岁) 相比,已死亡的患者年龄较大 (平均年龄为73.98岁).
- 在幸存者和非幸存者之间观察到淋巴细胞数量,C-反应蛋白,费里丁,D-二次体,中性粒细胞-淋巴细胞比率,尿素,和水平的显著差异.
结论:
- 年龄和性别是预测COVID-19死亡率的重要因素.
- 特定的实验室值,包括炎症标志物和血液计数,是危急COVID-19患者死亡率的有价值预测指标.
- 这些参数可以帮助临床医生监测和管理重症COVID-19患者.
相关概念视频
Pneumonia III: Complications and Assessment
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
Acute Respiratory Failure-II
Type I Respiratory Failure, or hypoxemic respiratory failure, occurs when the partial pressure of oxygen (PaO2) in arterial blood falls below 60 mmHg while breathing room air without a corresponding increase in arterial carbon dioxide levels (PaCO2). This condition highlights a significant impairment in the lungs' capacity to oxygenate the blood.
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
Acute Respiratory Failure-V
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Acute Coronary Syndrome III: Diagnostic Studies
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
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...
Acute Pyelonephritis II: Diagnostic Studies and Management
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...


