对感染烧伤患者的SOFA得分,快速SOFA和SIRS标准的分析
Francielli Mary Pereira Gimenez1, Lucienne Tibery Queiroz Cardoso1, Gilselena Kerbauy1
1Universidade Estadual de Londrina. Londrina, Paraná, Brazil.
Revista brasileira de enfermagem
|August 13, 2025
概括
在怀疑感染的烧伤患者中,像SOFA和SIRS这样的败血症得分不能可靠地表明败血症. 然而,年龄,烧伤严重程度和SOFA得分预测死亡率.
科学领域:
- 临界护理医学 临界护理医学
- 传染性疾病 传染性疾病
- 烧伤手术 烧伤手术
背景情况:
- 在烧伤受害者的败血症诊断是具有挑战性的.
- 早期识别死亡风险因素对于重症监护室 (ICU) 管理至关重要.
研究的目的:
- 评估SOFA评分,qSOFA和SIRS标准在烧伤患者中诊断败血症的有用性.
- 确定该人群中医院死亡率的独立风险因素.
主要方法:
- 在2017年至2020年期间接受ICU治疗的279名烧伤患者的回顾性纵向研究.
- 在入院和感染日期时分析败血症诊断得分 (SOFA,qSOFA,SIRS).
主要成果:
- 在279名患者中,有251名患有感染.
- 败血症评分 (SIRS,SOFA) 不总是符合烧伤或感染发病时败血症的诊断标准.
- 年龄,燃烧总体表面积的百分比和SOFA分数被确定为死亡率的独立预测因素.
结论:
- 标准败血症得分可能缺乏敏感性在诊断烧伤患者的败血症.
- 年龄,烧伤程度和SOFA分数是影响感染烧伤受害者死亡风险的关键因素.
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