摘要
目的:了解急诊患者连续性肾脏替代治疗(CRRT)的预后评价及死亡风险的预测因素。方法:回顾分析我院急诊监护室2005-05-2011-07接受CRRT治疗的217例患者。结果:217例急诊患者,中位年龄68(50～77)岁,应用Logistic回归分析影响死亡的危险因素,由大到小依次是呼吸机(P<0.001),APACHEⅡ评分(P<0.001),年龄(P=0.001)。应用ROC曲线计算APACHEⅡ评分、SOFA评分和乳酸的曲线下面积(AUC),分别为0.780(P<0.001)、0.723(P<0.001)、0.725(P<0.001)。结论:APACHEⅡ评分、SOFA评分和乳酸可用于CRRT患者死亡风险的预测,指导临床治疗。机械通气、APACHEⅡ评分和年龄与患者的死亡具有密切联系。
Objective： To evaluate the prognosis and the risk factors for death of emergency patients receiving the treatment of CRRT. Method：The data of 217 patients in the emergency department （ED） of a comprehensive teaching hospital receiving emergency CRRT were studied. Result： The median age of the two hundred and seven- teen patients was 68 （50, 77） years old. Logistic regression analysis showed that mechanical ventilation （P〈0. 001）, APACHE Ⅱ score （P〈0. 001） and age （P=0. 001） were the risk factors affecting the prognosis of CRRT patients. Areas under the curve of receiver operating characteristic curve （ROC） were bigger than 0. 7 in A PACHE Ⅱ score, SOFA score and lactic acid. Conclusion：APACHE Ⅱ score, SOFA score and lactic acid can be applied to predict death of CRRT patients. Mechanical ventilation, APACHE Ⅱ score and age were the risk fac- tors affecting the prognosis of CRRT patients.
出处
《临床急诊杂志》
CAS
2012年第5期332-334,共3页
Journal of Clinical Emergency
