■由于全球变暖等因素,2022年中国西南地区中暑病例增加,异常温升,电力供应不足,和其他促成因素。这导致中暑患者经历不同程度的器官功能障碍的显着增加。本研究旨在分析ICU中暑患者的流行病学和临床结局,为标准化诊断和治疗提供支持,最终提高中暑的预后。
■回顾,多中心,对中国西南地区83家医院的ICU收治的中暑患者进行了描述性分析.电子病历用于数据收集,包括流行病学因素等各个方面,发病症状,并发症,实验室数据,并发感染,治疗,和患者结果。
■数据集主要包括经典的中暑,有477名男性(占总数的55%)。患者群体的中位年龄为72岁(范围:63-80岁)。最常见的初始症状是发烧,精神或行为异常,昏倒。ICU治疗涉及呼吸支持,抗生素,镇静剂,和其他干预措施。在700名ICU住院患者中,213例患者无感染,当487人被诊断出感染时,主要是下呼吸道感染。最初出现神经系统症状的患者(n=715)与没有神经系统症状的患者(n=104)相比,ICU死亡风险更高。比值比为2.382(95%CI1.665,4.870)(p=0.017)。
■2022年,中国西南地区大多数中风病人经历了经典中风病,许多人在进入ICU时感染。此外,中暑可导致多种并发症。
An increase in Heatstroke cases occurred in southwest China in 2022 due to factors like global warming, abnormal temperature rise, insufficient power supply, and other contributing factors. This resulted in a notable rise in Heatstroke patients experiencing varying degrees of organ dysfunction. This descriptive study aims to analyze the epidemiology and clinical outcomes of Heatstroke patients in the ICU, providing support for standardized diagnosis and treatment, ultimately enhancing the prognosis of Heatstroke.
A retrospective, multicenter, descriptive analysis was conducted on Heatstroke patients admitted to ICUs across 83 hospitals in southwest China. Electronic medical records were utilized for data collection, encompassing various aspects such as epidemiological factors, onset symptoms, complications, laboratory data, concurrent infections, treatments, and patient outcomes.
The dataset primarily comprised classic heatstroke, with 477 males (55% of total). The patient population had a median age of 72 years (range: 63-80 years). The most common initial symptoms were fever, mental or behavioral abnormalities, and fainting. ICU treatment involved respiratory support, antibiotics, sedatives, and other interventions. Among the 700 ICU admissions, 213 patients had no infection, while 487 were diagnosed with infection, predominantly lower respiratory tract infection. Patients presenting with neurological symptoms initially (n = 715) exhibited higher ICU mortality risk compared to those without neurological symptoms (n = 104), with an odds ratio of 2.382 (95% CI 1.665, 4.870) (p = 0.017).
In 2022, the majority of Heatstroke patients in southwest China experienced classical Heatstroke, with many acquiring infections upon admission to the ICU. Moreover, Heatstroke can result in diverse complications.