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Survival predictors in elderly patients with acute respiratory distress syndrome: a prospective observational cohort study

机译:老年急性呼吸窘迫综合征患者的存活预测因子:一项前瞻性观察队列研究

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Acute respiratory distress syndrome (ARDS) has a high mortality rate in intensive care units (ICU). The elderly patients remain to be increased of ICU patients. The aim is to investigate the survival predictors of elderly patients with ARDS. We reported a prospective observational cohort research, including the patients with ARDS between October 2012 and May 2015. Demographic, comorbidities, severity, lung mechanics, laboratory data and survival outcomes were analyzed. A total of 463 patients with ARDS were ≥65 years old were enrolled and analyzed. Multivariate logistic regression analysis identified Charlson comorbidity index (CCI) [odds ratio (OR) 1.111, 95% CI 1.010–1.222, p?=?0.031], Sequential Organ Failure Assessment (SOFA) score (OR 1.127, 95% CI 1.054–1.206, p?
机译:急性呼吸窘迫综合征(ARDS)在重症监护单位(ICU)中具有高死亡率率。老年患者仍然增加了ICU患者。目的是探讨老年ARD患者的存活率。我们报告了一项前瞻性观察队列研究,包括2012年10月和2015年5月之间的ARDS患者。分析了人口统计学,组合,严重程度,肺部力学,实验室数据和生存结果。共有463例ARDS患者≥65岁,注册和分析。多变量逻辑回归分析确定了Charlson合并症指数(CCI)[赔率比(或)1.111,95%CI 1.010-1.222,P?= 0.031],Screen Organe评估(沙发)得分(或1.127,95%CI 1.054- 1.206,p?<0.001)和峰值吸气压力(PIP)(或1.061,95%CI 1.024-1.099,p?= 0.001),其与医院死亡率独立相关。关于亚组患者65-74岁,75-74岁和≥85岁,基线特征没有显着差异,医院死亡率也没有显着差异。总之,CCI,沙发评分和PIP被鉴定为具有ARDS的老年患者的存活预测因子。评估CCI的合并症对于预测ARDS老年患者的存活至关重要。

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