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[急性心肌梗死急性期预后因素的多因素分析——非条件逐步logistic模型]

[Multivariate analysis on prognostic factors for acute myocardial infarction during acute period noncondition stepwise logistic model].

作者信息

Zhou B, Wang T, Shi J

机构信息

China Medical University, Shenyang.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 1994 Apr;15(2):99-102.

PMID:7923342
Abstract

The relationship between baseline factors defined at 4.3 +/- 1.8 hr after onset of acute myocardial infarction and 28-day survival in 319 patients admitted into the China Medical University was evaluated. The case fatality rate during acute period was 17.9%. Univariate statistics identified a significant relationship between 5 of these factors and survival. Multivariate noncondition stepwise logistic model analysis identified four factors as being most closely related to survival: (1) heart failure; (2) arrhythmia; (3) age; (4) history of essential hypertension. It is concluded that heart failure during the acute period of acute myocardial infarction is the most important baseline factor for prediction of 28-day survival.

摘要

对中国医科大学收治的319例急性心肌梗死患者起病后4.3±1.8小时所确定的基线因素与28天生存率之间的关系进行了评估。急性期病死率为17.9%。单因素统计分析确定这些因素中有5个与生存率存在显著关系。多因素非条件逐步逻辑模型分析确定有4个因素与生存率关系最为密切:(1)心力衰竭;(2)心律失常;(3)年龄;(4)原发性高血压病史。结论是,急性心肌梗死急性期的心力衰竭是预测28天生存率的最重要基线因素。

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