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血管活性药物评分与小儿感染性休克死亡率之间的关联

Association between vasoactive-inotropic score and mortality in pediatric septic shock.

作者信息

Haque A, Siddiqui N R, Munir O, Saleem S, Mian A

机构信息

Departments of Pediatrics and Child Health, and *Emergency Medicine, Aga Khan University Hospital, Karachi, Pakistan. Correspondence to: Dr Anwarul Haque, Associate Professor, Department of Pediatrics and Child Health, Aga Khan University Hospital, Karachi, Pakistan.

出版信息

Indian Pediatr. 2015 Apr;52(4):311-3. doi: 10.1007/s13312-015-0630-1.

Abstract

OBJECTIVE

To assess the association between Vasoactive Inotrope Score (vis) and mortality in children with fluid-refractory septic shock.

METHODS

A retrospective chart review of 71 children (age 1 mo-16y) admitted with fluid-refractory septic shock in pediatric intensive care unit during a two year period was done. We divided our cohort into two groups viz High vasoactive inotrope score (Group-H) and Low-vasoactive inotrope score (Group-L) based on a cut-off value of 20.

RESULTS

73% of the children were in Group-L. The mortality rate was 44% and 100% in Group L and Group H, respectively.

CONCLUSIONS

High inotropic score in children with septic shock is associated with high mortality rate.

摘要

目的

评估血管活性正性肌力评分(VIS)与液体难治性感染性休克患儿死亡率之间的关联。

方法

对两年期间入住儿科重症监护病房的71例(年龄1个月至16岁)液体难治性感染性休克患儿进行回顾性病历审查。我们根据20的临界值将队列分为两组,即高血管活性正性肌力评分组(H组)和低血管活性正性肌力评分组(L组)。

结果

73%的患儿在L组。L组和H组的死亡率分别为44%和100%。

结论

感染性休克患儿的高正性肌力评分与高死亡率相关。

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