红细胞分布宽度变化对ICU医院感染患者预后的影响
发布时间：2018-07-16 19:48
【摘要】：目的:通过分析红细胞分布宽度(RDW)变化规律评估其对ICU院内感染重症病患者远期预后的影响。方法:2014年1月至2015年6月收集重症医学科院内感染患者数据,以RDW指标分为正常组(15%)和增高组(15%),对比两组院内感染患者基础状况,生化指标,APACHEII评分,查尔森合并症指数等是否存在差异性,评估两组患者28、90 d生存率及死亡风险。结果:共有66例患者入选,RDW增高组(31例)与RDW正常组(35例)相比28、90 d死亡风险明显增高(P0.05),COX多因素风险结果显示RDW(OR=1.110,95%CI=1.011~1.219,P=0.029)为独立的风险因素。结论:ICU重症患者发生医院感染且伴有RDW增高时提示远期死亡风险增加。
[Abstract]:Objective: to evaluate the effect of RDW on the long term prognosis of patients with severe nosocomial infection in ICU. Methods: from January 2014 to June 2015, the data of nosocomial infection patients in intensive care department were collected and divided into normal group (15%) and elevated group (15%) according to the RDW index. The basic status, biochemical index and Apache II score of nosocomial infection patients were compared between the two groups. Whether there was any difference in Charlson's complication index was used to evaluate the 2890 day survival rate and the risk of death in the two groups. Results: a total of 66 patients were enrolled in the RDW increased group (31 cases) and the RDW normal group (35 cases). The risk of death on day 2890 was significantly higher than that in the RDW group (P0.05). The multivariate risk of Cox showed that RDW (OR1.11010 ~ 95CII 1.0111.219P0.029) was an independent risk factor. Conclusion nosocomial infection with increased RDW in severe ICU patients suggests an increased risk of long-term death.
【作者单位】： 暨南大学附属珠海医院广东省珠海市人民医院重症医学科;
【基金】：珠海市科技计划项目(编号:2013D0401990020)
【分类号】：R459.7;R197.32
，
本文编号：2127488
[Abstract]:Objective: to evaluate the effect of RDW on the long term prognosis of patients with severe nosocomial infection in ICU. Methods: from January 2014 to June 2015, the data of nosocomial infection patients in intensive care department were collected and divided into normal group (15%) and elevated group (15%) according to the RDW index. The basic status, biochemical index and Apache II score of nosocomial infection patients were compared between the two groups. Whether there was any difference in Charlson's complication index was used to evaluate the 2890 day survival rate and the risk of death in the two groups. Results: a total of 66 patients were enrolled in the RDW increased group (31 cases) and the RDW normal group (35 cases). The risk of death on day 2890 was significantly higher than that in the RDW group (P0.05). The multivariate risk of Cox showed that RDW (OR1.11010 ~ 95CII 1.0111.219P0.029) was an independent risk factor. Conclusion nosocomial infection with increased RDW in severe ICU patients suggests an increased risk of long-term death.
【作者单位】： 暨南大学附属珠海医院广东省珠海市人民医院重症医学科;
【基金】：珠海市科技计划项目(编号:2013D0401990020)
【分类号】：R459.7;R197.32
，
本文编号：2127488
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