Ari Maşide, Ozdemir Tarkan, Yildiz Murat, Celik Deniz, Usul Eren, Ari Emrah, Tüten Ömer Faruk
Clinic of Lung Diseases, Ankara Atatürk Sanatory Education and Research Hospital, 06290 Ankara, Türkiye.
Clinic of Lung Diseases, Konya Farabi Hospital, 42090 Konya, Türkiye.
Diagnostics (Basel). 2024 Dec 25;15(1):14. doi: 10.3390/diagnostics15010014.
Hypercapnic respiratory failure (HRF) is a primary cause of admittance to the intensive care unit (ICU). This study aimed to investigate the factors that affect the length of hospital stay in HRF patients. This study was designed as a retrospective, cross-sectional analysis of patients who were admitted to the ICU because of HRF between 2022 and 2024. The demographic and clinical characteristics of the patients and laboratory results were recorded. The Charlson Comorbidity Index (CCI) was calculated. The relationship between these parameters and the length of hospital stay was assessed. A total of 138 patients were included in the study. The average length of hospital stay was 11.45 days, and 37% of the patients were included in the long-term hospitalization group. The degree of hypercapnia was not associated with the length of hospital stay. It was determined that the patients' albumin levels and CCI were significant determinants of the length of hospital stay. The combined assessment of these two parameters was found to be superior compared to their separate evaluations. In our study, hypoalbuminemia and a higher CCI were identified as predictors of a prolonged ICU stay in HRF patients. Albumin levels of <3.25 g/dL and CCI scores of ≥5 were linked to longer stays, with this combined evaluation offering greater predictive value. These factors can guide patient management.
高碳酸血症性呼吸衰竭（HRF）是入住重症监护病房（ICU）的主要原因。本研究旨在调查影响HRF患者住院时间的因素。本研究设计为对2022年至2024年间因HRF入住ICU的患者进行回顾性横断面分析。记录患者的人口统计学和临床特征以及实验室检查结果。计算查尔森合并症指数（CCI）。评估这些参数与住院时间之间的关系。本研究共纳入138例患者。平均住院时间为11.45天，37%的患者被纳入长期住院组。高碳酸血症程度与住院时间无关。确定患者的白蛋白水平和CCI是住院时间的重要决定因素。发现这两个参数的联合评估优于单独评估。在我们的研究中，低白蛋白血症和较高的CCI被确定为HRF患者ICU住院时间延长的预测因素。白蛋白水平<3.25 g/dL和CCI评分≥5与住院时间延长有关，这种联合评估具有更大的预测价值。这些因素可指导患者管理。
