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[1]蔡累,李毅,秦逸輝,等.初始血清白蛋白水平對(duì)成人吸入性肺炎住院死亡的預(yù)測(cè)價(jià)值[J].福建醫(yī)藥雜志,2024,46(06):10-14.[doi:10.20148/j.fmj.2024.06.003]
　CAI Lei,LI Yi,QIN Yihui,et al.Predictive value of initial serum albumin levels for in-hospital mortality in adults with aspiration pneumonia[J].FUJIAN MEDICAL JOURNAL,2024,46(06):10-14.[doi:10.20148/j.fmj.2024.06.003]
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初始血清白蛋白水平對(duì)成人吸入性肺炎住院死亡的預(yù)測(cè)價(jià)值()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
46
期數(shù):
2024年06期
頁(yè)碼:
10-14
欄目:
臨床研究
出版日期:
2024-11-15

文章信息/Info

Title:
Predictive value of initial serum albumin levels for in-hospital mortality in adults with aspiration pneumonia
文章編號(hào):
1002-2600(2024)06-0010-05
作者:
蔡累; 李毅; 秦逸輝; 余研; 馮茜; 鐘素; 徐明娜; 許細(xì)萍; 翁友飛; 梁萌
中國(guó)人民解放軍陸軍第七十三集團(tuán)軍醫(yī)院,廈門 361001
Author(s):
CAI Lei;  LI Yi;  QIN Yihui;  YU Yan;  FENG Qian;  ZHONG Su;  XU Mingna;  XU Xiping;  WENG Youfei;  LIANG Meng
The 73rd Army Group Hospital of the PLA Army, Xiamen, Fujian 361001, China
關(guān)鍵詞:
白蛋白;  死亡率;  吸入性肺炎
Keywords:
albumin;  mortality;  aspiration pneumonia
分類號(hào):
R446.11+2
DOI:
10.20148/j.fmj.2024.06.003
文獻(xiàn)標(biāo)志碼:
B
摘要:
目的 探討血清白蛋白對(duì)成人吸入性肺炎住院死亡的預(yù)測(cè)價(jià)值。方法 采用回顧性隊(duì)列研究方法對(duì)中國(guó)人民解放軍陸軍第七十三集團(tuán)軍醫(yī)院近4年成人吸入性肺炎住院患者的數(shù)據(jù)進(jìn)行分析,評(píng)估急診初始血清白蛋白水平對(duì)吸入性肺炎患者住院死亡率的影響,分析其與住院死亡率的相關(guān)性。結(jié)果 入選患者248例,其中死亡51例(20.6%)。所有患者平均血清白蛋白水平為(3.4±0.7)g/dL,非存活組明顯低于存活組[(3.0±0.6)g/dL對(duì)比(3.5±0.6)g/dL]。在多變量logistic回歸模型中,白蛋白水平與住院死亡率呈負(fù)相關(guān)。血清白蛋白預(yù)測(cè)住院死亡的受試者工作特征曲線下面積(AUROC)為0.72,Youden指數(shù)為35.10%,敏感度、特異度、陽(yáng)性預(yù)測(cè)值、陰性預(yù)測(cè)值、陽(yáng)性和陰性似然比分別為68.6%、66.5%、34.7%、89.1%、2.05和0.47。白蛋白水平為4.0 g/dL時(shí)靈敏度最高(98.0%),白蛋白水平為2.5 g/dL時(shí)特異度最高(94.9%)。結(jié)論 成人吸入性肺炎住院患者中,初始血清白蛋白水平與住院死亡率負(fù)相關(guān),其對(duì)臨床醫(yī)師預(yù)測(cè)成人吸入性肺炎住院死亡具有重要意義,也為判斷此病的預(yù)后轉(zhuǎn)歸提供一定的參考。
Abstract:
Objective To explore the predictive value of serum albumin for in-hospital mortality in adults with aspiration pneumonia. Methods The data of adult inhalation pneumonia inpatients in the 73rd Army Group Hospital of the PLA Army over the past four years were collected using a retrospective cohort study method, the impact of initial serum albumin levels in mergency departments on in-hospital mortality in patients with aspiration pneumonia was assessed, and its correlation with in-hospital mortality was analyze. Results A total of 248 patients were enrolled, of whom, 51 patients(20.6%)died. The mean serum albumin level was(3.4±0.7)g/dL.The serum albumin level was significantly lower in the non-survivor group than that in the survivor group[(3.0±0.6)g/dL vs.(3.5±0.6)g/dL]. In the multivariable logistic regression model, albumin was associated with in-hospital mortality significantly. The area under the receiver operating characteristics(AUROC)for predicting in-hospital mortality using serum albumin was 0.72[95%CI(0.64,0.80)]. The Youden index was 35.10%,and the corresponding sensitivity, specificity, positive predictive value, negative predictive value, positive and negative likelihood ratio was 68.6%, 66.5%, 34.7%, 89.1%, 2.05 and 0.47, respectively. Highest sensitivity(98.0%)was shown at albumin level of 4.0 g/dL and highest specificity(94.9%)was shown at albumin level of 2.5 g/dL. Conclusion Initial serum albumin level is negatively correlated with in-hospital mortality among adult patients hospitalized with aspiration pneumonia, which is of great significance for clinical physicians to predict in-hospital mortality of adult aspiration pneumonia and provide a certain reference to judge the prognosis of this disease.

參考文獻(xiàn)/References:

[1] WARREN A,SOULSBY C R,PUXTY A,et al. Long-term outcome of patients with liver cirrhosis admitted to a general intensive care unit[J]. Ann Intensive Care,2017,7(1):37.
[2] MASICH A M,HEAVNER M S,GONZALES J P,et al. Pharmacokinetic/ pharmacodynamic considerations of beta-lactam antibiotics in adult critically ill patients[J]. Curr Infect Dis Rep,2018,20(5):9.
[3] PADKINS M,BREEN T,ANAVEKAR N,et al. Association between albumin level and mortality among cardiac intensive care unit patients[J]. J Intensive Care Med,2021,36(12):1475-1482.
[4] CHINA L, FREEMANTLE N, FORREST E,et al. A randomized trial of albumin infusions in hospitalized patients with cirrhosis[J]. N Engl J Med,2021,384(9):808-817.
[5] MAGNUSSEN B,GRADEL K O,JENSEN T G,et al. Association between hypoalbuminaemia and mortality in patients with community-acquired bacteraemia is primarily related to acute disorders[J]. PLoS One,2016,11(9):e0 160-466.
[6] KENDALL H,Abreu E,CHENG A L. Serum albumin trend is a predictor of mortality in ICU patients with sepsis[J]. Biol Res Nurs,2019,21(3):237-244.
[7] YIN M, SI L, QIN W,et al. Predictive value of serum albumin level for the prognosis of severe sepsis without exogenous human albumin administration: a prospective cohort study[J]. J Intensive Care Med,2018,33(12):687-694.

備注/Memo

備注/Memo:
基金項(xiàng)目:福建衛(wèi)健委科技計(jì)劃項(xiàng)目(20210N0100129)
通信作者:梁 萌,Email:[email protected]
更新日期/Last Update: 2024-11-15