预后营养指数作为缺血性肝炎患者住院死亡率的预测因子

IF 0.1 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Cyprus Journal of Medical Sciences Pub Date : 2022-10-11 DOI:10.4274/cjms.2022.2021-241
Aslı Vural, Ömer Taşargöl, Z. Günaydın, Tülin Akagün, H. M. Özbaş, M. Ayvaz, M. Yakarışık
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引用次数: 0

摘要

我们对本院诊断为IH的40例患者进行分析。将患者分为生存组和非生存组,根据其临床和实验室特征进行比较。PNI计算为10 ×血清白蛋白(g/dL) + 0.005 ×总淋巴细胞计数(每mm 3)。我们还使用逻辑回归来确定院内死亡率的任何危险因素。25例(64.1%)患者为男性,21例(52.5%)患者在冠状动脉重症监护期间死亡。非生存组PNI明显低于生存组(40.9±6.7 vs 32.9±5.8,p<0.001)。多因素分析PNI比值(OR): 0.98, 95%可信区间(CI): 0.97-0.99, p≤0.001)、葡萄糖(OR: 2.54, 95% CI: 1.64-4.29, p≤0.001)、白蛋白(OR: 0.93, 95% CI: 0.91-0.996, p≤0.001)、红细胞分布宽度(OR: 0.99, 95% CI: 0.98-0.99, p≤0.001)独立预测院内死亡率。结论:PNI是诊断为IH患者住院死亡率的独立预测因子。
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Prognostic Nutritional Index as a Predictor of In-Hospital Mortality in Patients with Ischemic Hepatitis
We analyzed 40 our hospital with a diagnosis of IH. The patients were classified into two groups (survivals and non-survivals) and they were compared according to their clinical and laboratory characteristics. PNI was calculated as 10 x serum albumin (g/dL) + 0.005 x total lymphocyte count (per mm 3 ). We also used a logistic regression to identify any risk factors of in-hospital mortality. The mean of the study cohort Of the 25 (64.1%) were male, and 21 (52.5%) died during their intensive coronary unit stay. The PNI were significantly lower in the non-survival group than in the survival group (40.9±6.7 vs 32.9±5.8, p<0.001). Multivariate analysis the PNI ratio (OR): 0.98, 95% confidence interval (CI): 0.97-0.99, p≤0.001], glucose (OR: 2.54, 95% CI: 1.64-4.29, p≤0.001), albumin (OR: 0.93, 95% CI: 0.91-0.996, p≤0.001), red cell distribution width (OR: 0.99, 95% CI: 0.98-0.99, p≤0.001) independently predicted in-hospital mortality. CONCLUSION: The PNI is an independent predictor of in-hospital mortality in patients with a diagnosis of IH.
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Cyprus Journal of Medical Sciences
Cyprus Journal of Medical Sciences MEDICINE, RESEARCH & EXPERIMENTAL-
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