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各种患者特征对危重症患者D-二聚体浓度的影响及其在重症监护病房环境中作为预后指标的作用。

The influence of various patient characteristics on D-dimer concentration in critically ill patients and its role as a prognostic indicator in the intensive care unit setting.

作者信息

Spring Jenna L, Winkler Anne, Levy Jerrold H

机构信息

Department of Medicine, University of Toronto, Suite RFE 3-805, 200 Elizabeth Street, Toronto, ON M5G 2C4, Canada.

Department of Pathology, Emory University, 1364 Clifton Road, NE, Atlanta, GA 30322, USA.

出版信息

Clin Lab Med. 2014 Sep;34(3):675-86. doi: 10.1016/j.cll.2014.06.015.

Abstract

This study examines the relationship between D-dimer concentration and patient age, gender, race, and renal function, and the role of D-dimer concentration as a predictor of in-hospital mortality, in a critically ill patient population. The results demonstrate there is a correlation between increased D-dimer concentration and renal impairment in critically ill patients, with patients in renal failure having the highest D-dimer concentrations. Peak D-dimer levels were higher among female patients than in male patients, but there was no association between peak D-dimer levels and other patient characteristics. D-dimer concentration was also not predictive of in-hospital mortality.

摘要

本研究在危重症患者群体中,考察了D-二聚体浓度与患者年龄、性别、种族及肾功能之间的关系,以及D-二聚体浓度作为院内死亡率预测指标的作用。结果表明,危重症患者中D-二聚体浓度升高与肾功能损害之间存在相关性,肾衰竭患者的D-二聚体浓度最高。女性患者的D-二聚体峰值水平高于男性患者,但D-二聚体峰值水平与其他患者特征之间无关联。D-二聚体浓度也不能预测院内死亡率。

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