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Prognostic Analysis of Elderly Patients with Multiple Organ Dysfunction Syndrome Undergoing Invasive Mechanical Ventilation
المؤلفون المشاركون
Xiao, Kun
Yan, Peng
Xie, Lixin
Liu, Bin
Guan, Wei
Song, Licheng
Wang, Yue
المصدر
Journal of Healthcare Engineering
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-03-19
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Objective.
To prospectively investigate early prognostic assessments of patients with Multiple Organ Dysfunction Syndrome in the Elderly (MODSE) who were receiving invasive mechanical ventilation (IMV).
Methods.
The clinical data of 351 patients were enrolled prospectively between January 2013 and January 2018.
The Acute Physiology and Chronic Health Evaluation II (APACHE II), APACHE III, Simplified Acute Physiology Score (SAPS II), and Multiple Organ Dysfunction Score (MODS) were calculated.
According to the outcome of 28-day, the patients were divided into survivors and nonsurvivors.
Additionally, based on whether weaning could be implemented, all patients were divided into a successful-weaning group and a failure-to-wean group.
Results.
According to the prognosis, the areas under the receiver operating characteristic curve of the APACHE II, APACHE III, SAPS II, and MODS scoring systems were 0.837, 0.833, 0.784, and 0.860, respectively.
MODS exhibited the highest sensitivity, whereas APACHE II showed the highest specificity, and successful weaning was conducive to ameliorating patients’ prognosis.
Multivariate logistic regression analyses revealed that underlying lung disease, plasma albumin, serum creatinine level, number of failing organs, and IMV duration were related to prognosis of weaning, with odds ratios (ORs) of 1.447, 0.820, 1.603, 2.374, and 3.105, respectively.
Conclusions.
The APACHE II, APACHE III, SAPS II, and MODS systems could perform excellent prognostic assessment for patients with Multiple Organ Dysfunction Syndrome in the elderly.
Underlying lung disease, plasma albumin, serum creatinine, number of failing organs, and IMV duration were independent prognostic factors of weaning in MODSE patients with invasive mechanical ventilation.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Xiao, Kun& Liu, Bin& Guan, Wei& Yan, Peng& Song, Licheng& Wang, Yue…[et al.]. 2020. Prognostic Analysis of Elderly Patients with Multiple Organ Dysfunction Syndrome Undergoing Invasive Mechanical Ventilation. Journal of Healthcare Engineering،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1186297
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Xiao, Kun…[et al.]. Prognostic Analysis of Elderly Patients with Multiple Organ Dysfunction Syndrome Undergoing Invasive Mechanical Ventilation. Journal of Healthcare Engineering No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1186297
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Xiao, Kun& Liu, Bin& Guan, Wei& Yan, Peng& Song, Licheng& Wang, Yue…[et al.]. Prognostic Analysis of Elderly Patients with Multiple Organ Dysfunction Syndrome Undergoing Invasive Mechanical Ventilation. Journal of Healthcare Engineering. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1186297
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1186297
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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