通过SII和CALLY指数使用肺部感染复杂化的缺血性中风的预后评估
Daohui Chen1,2, Maying Bin1, Lei Kang2
1Department of Medical Administration, The First Hospital of Hunan University of Chinese Medicine Changsha 410000, Hunan, China.
American journal of translational research
|October 20, 2025
概括
系统性免疫炎症指数 (SII) 和CRP-Albumin-Lymphocyte (CALLY) 指数有效预测肺部感染 (PI) 的缺血性中风 (IS) 患者的结果. 将这些标记物结合起来可以提高预后准确度,从而更好地管理患者.
科学领域:
- 神经学 神经学
- 炎症研究 炎症研究
- 生物标志物发现发现
背景情况:
- 缺血性中风 (IS) 患者经常患有肺部感染 (PI),使恢复复杂化.
- 预测性预后标记在IS与PI中的预后对于及时干预至关重要.
研究的目的:
- 评估系统性免疫炎症指数 (SII) 和CRP-专-淋巴细胞指数 (CALLY) 的预后价值.
- 为了确定SII和CALLY对IS患者PI的联合预测准确度.
主要方法:
- 追溯分析了122名具有PI的IS患者和100名没有PI的IS患者.
- 在6个月的随访后,使用修改的兰金尺度 (mRS) 评估预后.
- 组之间的炎症标志物 (SII,CALLY) 的比较和与预后的相关性.
主要成果:
- 与对照组相比,IS患者的PI显示SII水平较高,CALLY水平较低.
- SII和CALLY都被确定为预后不佳的独立预测因素.
- 结合SII和CALLY显示出较好的预测准确度 (AUC=0.905) 对于糟糕的结果.
结论:
- SII和CALLY指数是PI的IS患者有价值的预后工具.
- 它们的联合应用显著提高了对患者结果的预测.
- 这些标志物可以帮助临床决策,以管理PI复杂的IS.
相关概念视频
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
311
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
311
Pneumonia III: Complications and Assessment
777
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
777
Acute Coronary Syndrome III: Diagnostic Studies
209
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
209
Endocarditis IV: Nursing Management
317
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
317
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
3.1K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
3.1K
Pulmonary Embolism III: Nursing Management
353
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
353


