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摘要: 目的:分析2019年间急诊科抢救室细菌性肺炎患者的临床资料,探讨细菌性肺炎患者死亡的危险因素。方法:搜集首都医科大学附属复兴医院急诊科抢救室2019年1月—2019年12月期间诊治的所有肺炎病例,筛选出细菌性肺炎患者并分为死亡组与非死亡组,分别整理两组患者的SOFA评分、APACHEⅡ评分及相关实验室指标,分析上述临床参数是否为患者死亡的危险因素。结果:①细菌性肺炎患者死亡组和非死亡组的性别组成、Hb、BNP比较,均差异无统计学意义(P>0.05);两组SOFA评分、APACHEⅡ评分、CRP、ALB、cTnT、D-dimer比较,均差异有统计学意义(P<0.05)。②经多因素Logistic回归分析,SOFA评分(OR=1.507,95%CI:1.366~1.701,P=0.0001)、CRP(OR=1.187,95%CI:0.975~0.999,P=0.036)、ALB(OR=1.154,95%CI:1.011~1.217,P=0.034)是细菌性肺炎患者死亡事件发生的独立危险因素。结论:SOFA评分、CRP、ALB是急诊科抢救室细菌性肺炎患者死亡的危险因素。Abstract: Objective: Clinical data of bacterial pneumonia patients in the Emergency Room of our hospital in 2019 were analyzed to explore the risk factors for death of bacterial pneumonia patients.Methods: We collected all cases of pneumonia in Emergency Room of Fu-Xing hospital, Capital University between January 2019 and December 2019, patients with bacterial pneumonia were screened and divided into death and death group, handling SOFA score, APACHEⅡ score and related laboratory index, to analyze whether the above clinical parameters were risk factors for death of patients.Results:①There was no statistical difference in gender composition、Hb、BNP between the bacterial pneumonia death group and the non-death group, and there were statistical differences in SOFA score, APACHEⅡ score, CRP, ALB, cTnT, D-dimer(P<0.05).②Through multi-factor analysis and fitting model, the OR values of SOFA score, CRP and ALB were>1.Conclusion: SOFA score, CRP and ALB are risk factors for death of patients with bacterial pneumonia in the Emergency Room.
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Key words:
- emergency room /
- bacterial pneumonia /
- death /
- risk facts
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