心率轨迹对败血症患者30天死亡率的影响:基于MIMIC-IV数据库的回顾性研究
Wenming Shao1,2, Jianlong Yan3, Yanbin Pan4
1Emergency of Department, The First Affiliated Hospital of Jinan University, 613 Huangpu Avenue West, Guangzhou City, Guangdong Province, China.
BMC infectious diseases
|December 10, 2025
概括
在ICU中心率稳定在每分钟80左右的败血症患者的生存率更好. 心率波动或下降,尤其是低于每分钟80的心率,与较高的短期死亡风险有关.
科学领域:
- 关键护理医学 关键护理医学
- 心脏病学 心脏病学
- 数据科学数据科学数据科学
背景情况:
- 心率是败血症管理中的关键生命体征.
- 之前的研究重点是治疗治疗急症室后的败血症患者的心率,但心率轨迹对短期死亡率的影响尚不清楚.
研究的目的:
- 为了研究心率反复变化的影响,在短时间内所有原因的死亡率的败血症患者.
- 识别不同的心率轨迹及其与生存结果的关联.
主要方法:
- 从MIMIC-IV数据库中回顾性分析败血症患者数据.
- 潜伏生长混合模型 (LGMM) 用于对心率轨迹进行分类 (在ICU入院后10小时).
- 卡普兰-梅尔和考克斯的比例危险模型来评估轨迹之间的生存差异.
主要成果:
- 在5511名败血症患者中确定了6种不同的心率轨迹.
- 心率稳定在每分钟80左右的患者 (第1类) 显示了最高的生存概率.
- 短暂稳定,然后下降的心率的轨迹 (第3类) 的生存概率最低 (HR1.88).
结论:
- 在ICU入院后的最初10小时内,持续的心率接近每分钟80次,可能与败血症的短期存活率的改善有关.
- 特定的心率模式,特别是下降的,与死亡风险增加有关.
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