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压力高血糖比率升高与呼吸衰竭患者在医院死亡率较高相关
Huihui Bai1, Dan Niu1, Boling Li1
1Department of Intensive Care Unit, Shaanxi Province People's Hospital, Xi An, China.
压力高血糖比率 (SHR) 是呼吸衰竭 (RF) 患者死亡率的关键预测指标. 较高的SHR水平,特别是在最高四分位数中,显著增加了住院死亡风险,需要密切监测和早期干预.
科学领域:
- 关键护理医学 关键护理医学
- 临床生物标志物 临床生物标志物
- 呼吸系统医学 呼吸系统医学
背景情况:
- 压力高血糖比率 (SHR) 是一种与不良临床结果相关的新兴生物标志物.
- 对于呼吸衰竭 (RF) 患者的死亡率,SHR的预测值尚未得到充分确立.
研究的目的:
- 评估SHR在预测RF患者的住院和重症监护室 (ICU) 死亡率方面的实用性.
- 使用各种统计模型探索SHR和死亡率之间的关系,包括Cox回归和受限立方线.
主要方法:
- 从MIMIC-IV数据库中对2250名被诊断患有RF的患者进行了回顾性队列分析.
- 根据SHR四分位数,患者被分为四组.
- 卡普兰-梅尔曲线,多变量考克斯回归和受限制的立方线被用于生存和关联分析.
主要成果:
- 住院死亡率为23.91%,ICU死亡率为14.31%.
- 较高的SHR四分位数与显著较低的生存率相关 (P < 0.001).
- 增加的SHR水平,特别是在最高四分位数中,与增加住院死亡风险有关,随着时间的推移观察到每日风险减弱.
结论:
- 升高的SHR是患有RF的ICU患者住院死亡率的重要预测因素.
- 高入院SHR值的患者,特别是最高四分位数的患者,需要密切监测和及时的临床干预.
- 虽然与住院死亡率有关,但在时间相互作用模型中,SHR与ICU死亡率没有显著的风险关联.
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