UNASSIGNED:本研究旨在调查在儿科重症监护病房(PICU)接受有创机械通气(IMV)的儿童的通气时间是否与小儿序贯器官衰竭(pSOFA)评分相关,白细胞(WBC)计数,血乳酸水平,和发烧的持续时间。
UNASSIGNED:回顾性回顾2018年1月至2020年12月在荆州市中心医院PICU接受IMV患者的病历。根据诊断相关组的IMV持续时间,这些患者分为两组:A组,通气时间<96小时,B组,通气持续时间≥96小时。每组的pSOFA评分,白细胞计数,血乳酸水平,并比较了发热的持续时间。采用Logistic回归分析通气时间≥96h的临床危险因素。并绘制受试者操作特征(ROC)曲线。
未经批准:共纳入42例患者,A组23例,B组19例,A组与B组pSOFA评分比较差异有统计学意义(P<0.05),而血液乳酸水平的差异,发烧的持续时间,两组间白细胞计数差异无统计学意义(P>0.05)。采用Logistic回归分析机械通气时间≥96h的影响因素。以pSOFA评分为测试变量,以机械通气时间≥96h为状态变量,绘制ROC曲线。曲线下面积为0.76(SE=0.075,95%CI:0.614-0.906,P=0.005)。敏感性和特异性分别为68.4%和73.9%,分别,相应的pSOFA评分为7.5。
UNASSIGNED:当pSOFA评分≥8时,机械通气持续时间≥96h的风险增加。
UNASSIGNED: This study aimed to investigate whether the ventilation duration for children undergoing invasive mechanical ventilation (IMV) in pediatric intensive care unit (PICU) is correlated with pediatric sequential organ failure (pSOFA) score, white blood cell (WBC) count, blood lactate level, and duration of fever.
UNASSIGNED: Retrospectively reviewed that the medical records of patients who received IMV in the PICU of Jingzhou Central Hospital between January 2018 and December 2020. According to the duration of IMV in diagnosis-related groups, these patients were divided into two groups: group A, ventilation duration <96 h, and group B, ventilation duration ≥96 h. Each group\'s pSOFA scores, WBC counts, blood lactate levels, and durations of fever were compared. Logistic regression analysis was used to analyze the clinical risk factors of ventilation duration ≥96 h, and the receiver operator characteristic (ROC) curve was drawn.
UNASSIGNED: A total of 42 patients were included, including 23 in group A and 19 in group B. The difference in pSOFA score between group A and group B was statistically significant (P < 0.05), while the differences in blood lactate level, duration of fever, and WBC count between the two groups were not statistically significant (P > 0.05). Logistic regression analysis was conducted to analyze the influencing factors of mechanical ventilation duration ≥96 h. An ROC curve was drawn with pSOFA score as a test variable and duration of mechanical ventilation ≥96 h as a state variable, revealing that the area under the curve was 0.76 (SE = 0.075, 95% CI: 0.614-0.906, P = 0.005). The sensitivity and specificity were 68.4 and 73.9%, respectively, and the corresponding pSOFA score was 7.5.
UNASSIGNED: When the pSOFA score ≥8, the risk of mechanical ventilation duration ≥96 h increases.