Iyer R P, Duckett G K, Brogan T D, Tweedy P S, Sharpe T C
Department of Medicine, Stepping Hill Hospital, Stockport, Cheshire SK, UK.
Postgrad Med J. 1987 Dec;63(746):1049-53. doi: 10.1136/pgmj.63.746.1049.
The problem of septicaemia in a district general hospital was studied prospectively over a two year period, with respect to factors affecting prognosis. Age had little influence on the outcome, although several factors showed age-related trends which tended to be unfavourable to survival. The mortality among patients over 65 years of age was 39.5% and this was not significantly different from the mortality of 34.5% among those below that age. It is suggested that by taking into consideration simple clinical and laboratory findings like sex, source of infection, intercurrent illness, blood urea, pulse rate and temperature, it is possible to predict prognosis with reasonable accuracy without recourse to excessive expenditure of money or resources.
在两年时间里,对一家地区综合医院的败血症问题进行了前瞻性研究,涉及影响预后的因素。年龄对结果影响不大,尽管有几个因素呈现出与年龄相关的趋势,且往往不利于生存。65岁以上患者的死亡率为39.5%,与该年龄以下患者34.5%的死亡率没有显著差异。有人提出,通过考虑性别、感染源、并发疾病、血尿素、脉搏率和体温等简单的临床和实验室检查结果,无需花费过多金钱或资源,就有可能较为准确地预测预后。