葡萄糖度预测COVID-19患者的死亡率:一种倾向性得分匹配研究
Xing Wang1, Yue Li2, Qiao Wang3
1Traumatic Medical Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China; Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
The American journal of the medical sciences
|May 15, 2025
概括
住院COVID-19患有高血糖症的患者面临着明显更高的死亡风险. 即使血糖水平轻微升高也会预测死亡率的增加,这凸显了在冠状病毒病-19护理中需要进行血糖监测和管理的必要性.
科学领域:
- 内分泌学 在内分泌学.
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 冠状病毒疾病-19 (COVID-19) 与全身炎症和死亡率增加有关.
- 血糖升高可以加剧细胞因子风暴,增加COVID-19患者的疾病严重程度和死亡风险.
研究的目的:
- 调查COVID-19患者的血糖水平和住院死亡率之间的关联.
- 为住院COVID-19患者提供关于优化葡萄糖管理的见解.
主要方法:
- 成年COVID-19患者的回顾性队列研究.
- 倾向性得分匹配 (PSM) 来控制基线特征.
- 使用C统计,净重新分类改进 (NRI) 和综合歧视改进 (IDI) 评估死亡率预测.
主要成果:
- 与正常血糖相比,入院高血糖 (53.2%) 与医院死亡率显著增加 (aOR:3.10).
- PSM分析证实了高血糖与死亡率增加的相关性 (aOR: 2.66).
- 纳入摄入葡萄糖水平显著改善了死亡率预测模型.
结论:
- 血糖水平≥6.1mmol/L独立预测COVID-19患者的全因死亡率.
- 即使是轻微的葡萄糖升高也与明显更高的死亡风险有关.
- 有效的高血糖管理和血糖监测对于COVID-19患者的治疗结果至关重要.
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