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用纵向组轨迹建模在ICU中的败血症患者的凝血病亚表型和预后之间的相关性:回顾性分析
1Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, 610041, China.
European journal of medical research
|January 8, 2026
概括
败血症患者表现出三种不同的凝血病亚现象,每个都有不同的28天死亡风险. 识别这些败血症诱导的凝血病模式有助于了解预后和患者的结果.
科学领域:
- 临界护理医学 临界护理医学
- 血液学 血液学 血液学
- 翻译研究是翻译研究.
背景情况:
- 败血症引起的凝血病是一种复杂而异质的并发症.
- 了解动态凝血变化及其对败血症的预后影响至关重要.
- 败血症患者中明显的凝血病亚现象需要识别和表征.
研究的目的:
- 通过使用纵向数据,在败血症患者中识别出不同的凝血病亚现象.
- 描述这些亚表型的临床轨迹.
- 评估亚表型与28天死亡率之间的关联.
主要方法:
- 从2015-2022年对1649名败血症患者的回顾性分析.
- 基于组的轨迹建模以确定凝血模式.
- 考克斯的比例危险回归来评估死亡风险.
主要成果:
- 鉴定出了三种不同的凝血病亚现象.
- 第二组的28天死亡风险较低 (HR 0.235),而第三组的风险较高 (HR 2.780),而不是第一组.
- 第三组表现出最高的住院死亡率;年龄与轨迹组相互作用.
结论:
- 败血症引起的凝血病可以分为三个不同的亚现象型.
- 这些子类型与差异性的28天死亡风险有关.
- 需要进一步的前性研究来验证和机制性探索.
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