对联邦监狱管理局医院收治的感染艾滋病毒的结核病患者的预后进行数学预测

V. S. Borovitsky, M. V. Sinitsyn
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引用次数: 0

摘要

目的确定一种数学模式,用于随后计算联邦监狱管理局医院收治的感染艾滋病毒的结核病患者的预后结果。研究对象是在联邦监狱管理局医院接受治疗的 363 名结核病和艾滋病毒感染患者。使用判别分析来评估与观察结果的判别最相关的特征,先验地将观察结果分为几组,并对其进行重新分类。结果和讨论。联邦监狱管理局医疗机构对感染艾滋病毒的肺结核病人的预后预测公式为:良好预后 =-91.2138+4.2971× (体重指数)+0.4426×(吸烟 "经历",年)+0.5143×(血红蛋白水平,克/升)+0.6158×(稳定中性粒细胞,%)+0.4913×(白细胞 T 细胞指数);不良预后 =-81.8053+3.9467×(体重指数)+0.4071×(吸烟 "经历",年)+0.4724×(血红蛋白水平,克/升)+0.6861×(稳定中性粒细胞,%)+0.6630×(白细胞T细胞指数);进展或慢性化=-91.9349+4.2025×(体重指数)+0.5119×(吸烟经历,年)+0.5103×(血红蛋白水平,克/升)+0.5901×(稳定中性粒细胞,%)+0.5×(白细胞T细胞指数)。我们获得了一些简单的公式,可成功用于计算合并艾滋病毒感染的肺结核患者入院后的病程预后。
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Mathematical prognosis of the outcome of the disease of a patient with tuberculosis with HIV infection upon admission to the hospital of the Federal Penitentiary Service
Objective. To identify a mathematical pattern for the subsequent calculation of the prognosis of the outcome of a tuberculosis patient with HIV infection upon admission to the hospital of the Federal Penitentiary Service.Materials and methods. The object of the study was 363 patients with tuberculosis and HIV infection who were admitted for treatment at the hospital of the Federal Penitentiary Service. Discriminant analysis was used to evaluate the features most associated with the discrimination of observations, a priori divided into groups, and reclassify them. As a result, new discriminant axes were obtained, in the space of which the compared groups have the maximum difference.Results and discussion. Formulas were obtained for predicting the outcome of a tuberculosis patient with HIV infection upon admission to a medical institution of the Federal Penitentiary Service: favorable outcome =–91.2138+4.2971×(body mass index)+0.4426×(«experience» of smoking, years)+0.5143×(hemoglobin level, g/l)+0.6158×(stab neutrophils, %)+ 0.4913×(leukocyte T-cell index);unfavorable outcome =–81.8053+3.9467×(body mass index)+0.4071×(«experience» of smoking, years)+0.4724×(hemoglobin level, g/l)+0.6861×(stab neutrophils, %)+0.6630×(leukocyte T-cell index); progression or chronicity =–91.9349+4.2025×(body mass index)+0.5119×(smoking experience, years)+0.5103×(hemoglobin level, g/l)+0.5901×(stab neutrophils, %)+0.5×(leukocyte T-cell index).Conclusion. Simple formulas have been obtained that can be successfully used to calculate the prognosis of the course of the disease upon admission to a hospital in a patient with tuberculosis with concomitant HIV infection.
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来源期刊
HIV Infection and Immunosuppressive Disorders
HIV Infection and Immunosuppressive Disorders Medicine-Infectious Diseases
CiteScore
0.70
自引率
0.00%
发文量
37
期刊介绍: In the scientific-practical journal "HIV Infection and Immunosuppressive Disorders", published various issues of HIV medicine (epidemiology, molecular mechanisms of pathogenesis to the development of educational programs) leading scientists of Russia and countries of CIS, USA, as well as practical healthcare professionals working in research centers, research institutes, universities, clinics where done basic medical work. A special place on the pages of the publication is given to basic and clinical research, analytical reviews of contemporary and foreign reports, the provision of medical care for various diseases.
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