白细胞计数与急性损伤的进展和预后之间的线性相关性
Honghua Liu1, Qiao Gu1, Yuhe Zhao1
1The Emergency Department of Affiliated Central Hospital of Chongqing University of Technology, The Seventh People's Hospital of Chongqing, China.
The Journal of international medical research
|August 30, 2025
概括
白细胞数量升高与急性损伤进展和14天内死亡率的增加有关. 这种常见的血液检测标志物与损伤患者的这些不良结果有显著的线性相关性.
科学领域:
- 肝脏病学
- 血液学
- 临床诊断
背景情况:
- 白细胞计数是广泛使用的诊断和预后标志物.
- 白细胞计数与急性损伤 (AKI) 结果之间的关联尚未得到充分证实.
- 这种情况需要明确的预后指标.
研究的目的:
- 研究白细胞数量与急性损伤的进展和预后之间的关联.
- 要确定白细胞计数是否可以预测14天的AKI进展,死亡率或需要透析.
主要方法:
- 对多中心随机试验数据的回顾性分析.
- 包括5471名被诊断为AKI的患者.
- 使用统计分析,包括单变量分析,多变量逻辑回归和平滑曲线拟合.
主要成果:
- 白细胞计数与14天AKI进展 (aOR:1. 04,P< 0. 01) 和14天死亡率 (aOR:1. 06,P< 0. 01) 有显著的相关性.
- 在白细胞计数和14天透析之间没有发现显著的关联 (aOR:1. 01,P=0. 77).
- 在白细胞计数和14天AKI进展和死亡率之间观察到线性相关性.
结论:
- 白细胞计数与14天的AKI进展和死亡率有显著的线性相关性.
- 白细胞计数可以作为AKI结果的有价值的预后标志物.
- 进一步的研究可以探索针对白细胞调节的治疗策略.
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