预测死性外耳炎的死亡率:查尔森并发病率指数
Dalton Barham1, Stan Mckenzie2, Glen Watson1
1Shefield Teaching Hospitals Foundation Trust, Shefield, UK.
概括
查尔森并发症指数 (CCI) 可以帮助预测死于外耳炎 (NOE) 患者的1年死亡率. 较高的CCI得分可靠地表明这种严重耳部感染的风险增加.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染性疾病 传染性疾病
- 老年病的医生 老年病的医生
背景情况:
- 死性外耳炎 (NOE) 是一种严重的感染,影响耳道和头骨底部,与高发病率和死亡率有关.
- 目前对NOE的预后指标主要集中在疾病的程度和损害上,证据有限.
- 查尔森并发症指数 (CCI) 是一种广泛用于衡量患者并发症负担的指标.
研究的目的:
- 评估查尔森并发症指数 (CCI) 的实用性,作为被诊断患有死角性耳炎外部 (NOE) 的患者的额外预后工具.
主要方法:
- 在一个三级护理中心,在六年内对87名被诊断为NOE的患者进行了回顾性队列分析.
- 查尔森并发症指数 (CCI) 为每个患者计算.
- 收集了一年死亡率数据,并进行了后勤回归分析.
主要成果:
- 研究患者的平均CCI得分为5.9.
- 较高的CCI得分被确定为NOE患者1年死亡率的显著预测指标.
- 与较高的CCI相关的死亡几率比为1.34 (p=0.028).
结论:
- 查尔森并发病率指数 (CCI) 显示出其作为一种潜在的辅助工具,用于预后,在死性耳炎外部 (NOE) 患者.
- 纳入CCI可以帮助临床决策和患者就结果的咨询.
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