[脓毒症合并活动性肺结核患者的死亡危险因素]
[Risk Factors for Mortality among Patients with Sepsis Complicated with Active Tuberculosis].
作者信息
Li Yang-Ting, Liao Xue-Lian, Han Li, Kang Yan
机构信息
Department of Intensive Care Unit, West China Hospital, Sichuan University, Chengdu 610041, China.
出版信息
Sichuan Da Xue Xue Bao Yi Xue Ban. 2016 Jul;47(4):589-593.
OBJECTIVES
To determine risk factors associated with mortality of patients with sepsis complicated with active tuberculosis (TB) in intensive care units (ICU).
METHODS
We reviewed medical records of 61 TB patients whom were admitted to the ICU in West China Hospital of Sichuan University, among whom 19 were dead. Logistic regression models were established to determine predictors of mortality.
RESULTS
The acute physiology and chronic health evaluation (APACHE Ⅱ) score, smear-positive sputum, delayed treatment of active TB and acute kidney dysfunction were independent predictors of mortality.
CONCLUSIONS
Mortality of patients with sepsis complicated with active tuberculosis is high. APACHE Ⅱ score, smear-positive sputum, delayed treatment of active TB and acute kidney dysfunction are independent predictors of mortality.
目的
确定重症监护病房（ICU）中脓毒症合并活动性肺结核（TB）患者的死亡相关危险因素。
方法
我们回顾了四川大学华西医院ICU收治的61例肺结核患者的病历，其中19例死亡。建立逻辑回归模型以确定死亡的预测因素。
结果
急性生理与慢性健康状况评分系统（APACHE Ⅱ）评分、痰涂片阳性、活动性肺结核治疗延迟及急性肾功能不全是死亡的独立预测因素。
结论
脓毒症合并活动性肺结核患者的死亡率较高。APACHE Ⅱ评分、痰涂片阳性、活动性肺结核治疗延迟及急性肾功能不全是死亡的独立预测因素。
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