脓毒症患者未成熟血小板分数值与SOFA评分的相关性

Hesty Rhauda Ashan, H. Husni, E. Alia
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摘要

败血症是一种医学紧急情况,描述了感染过程的全身炎症反应,可导致器官功能障碍和死亡。序贯器官衰竭评估(SOFA)评分用于评估脓毒症患者器官功能障碍的严重程度。未成熟血小板分数(IPF)值可用于评价血小板生成。研究表明,IPF可以提供有关炎症活动和疾病预后的信息。脓毒症患者的高IPF值表明未成熟血小板的形成和募集是由感染引发的。本研究的目的是确定脓毒症患者IPF值与SOFA评分之间的相关性。这是一项分析性研究,采用横断面设计,纳入28例符合纳入和排除标准的败血症患者,并在M. Djamil Padang医生医院中央实验室进行IPF测试。该研究于2020年2月至2021年3月进行。IPF值采用流式细胞术自动血液学分析仪测定,SOFA评分由临床医生评估并从病历中获取。数据分析采用Pearson相关检验,p <0.05有统计学意义。脓毒症患者IPF的中位值为4.8(1.4-15.7)%。脓毒症患者的SOFA评分中位数为5,5(2-12)。相关检验显示IPF值与SOFA评分呈正相关,r= 0.684, p <0.05。脓毒症患者IPF值与SOFA评分呈正相关。
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Correlation between Immature Platetet Fraction Value and SOFA Score in Sepsis Patient
Sepsis is a medical emergency that describes systemic inflammation reaction to infectious process that can lead to organ dysfunction and death. Sequential Organ Failure Assesment (SOFA) score is used to assess severity of organ dysfunction in septic patients. Immature platelet fraction (IPF) value can be used to evaluate thrombopoiesis. Research shows IPF can provide information regarding inflammatory activity and disease prognosis. A high IPF value in septic patient indicates the formation and recruitment of immature platelets that are triggered by infection. The aim of this study was to determine correlation between IPF value and SOFA score in sepsis patients. This was an analytical study with a cross-sectional design in 28 patients with sepsis who met the inclusion and exclusion criteria and conducted IPF tests at Central Laboratory of Dr M. Djamil Padang Hospital. The study was conducted from February 2020 to March 2021. Value of IPF was performed using automated hematology analyzer with flow cytometry method and SOFA scores are assessed by clinicians and obtained from medical records. Data were analyzed by Pearson correlation test, significant if p <0.05. Median value of IPF in patients with sepsis was 4.8 (1.4-15.7) %. Median of SOFA score in patients with sepsis was 5,5 (2-12). Correlation test showed a strong positive correlation between IPF values and SOFA score with r= 0.684 and p <0.05. There was a strong positive correlation between IPF values and SOFA score in sepsis.
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