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目的:探讨体温修正休克指数(adjust shock index,ASI)与急诊内科患者病情及预后的关系。方法:回顾性分析急诊内科1 258例患者的ASI,并采用早期预警评分(early warning score,EWS)评估患者病情。采用Spearman相关性分析探讨ASI与患者病情的关系,采用Cox比例风险回归模型探讨ASI与患者死亡的关系。结果:1 258例患者中好转离院415例,急诊留观417例,普通住院365例,重症住院46例,急诊死亡15例。患者ASI和EWS越高,疾病转归越差,且不同结局患者之间ASI差异有统计学意义(P<0.05),ASI和EWS均与预后呈正相关(分别r=0.356,r=0.257,P<0.05),休克指数、ASI、EWS是患者死亡的独立预测风险因素。结论:ASI与急诊内科患者病情有较好的相关性。
Objective: To investigate the relationship between temperature-adjusted shock index (ASI) and the condition and prognosis of emergency medical patients. Methods: ASI was retrospectively analyzed in 1,258 patients in emergency department of medicine and the patients were evaluated by early warning score (EWS). Spearman correlation analysis was used to explore the relationship between ASI and patient’s condition. Cox proportional hazards regression model was used to explore the relationship between ASI and death. Results: Of the 1 258 patients, 415 were withdrawn from hospital, 417 were observed in emergency, 365 were hospitalized, 46 were hospitalized in intensive care, and 15 were emergency. The higher ASI and EWS were, the worse the prognosis was and the difference of ASI between different outcomes was statistically significant (P <0.05). Both ASI and EWS were positively correlated with prognosis (r = 0.356, r = 0.257, P <0.05), shock index, ASI, EWS were independent predictors of death in patients with risk factors. Conclusion: There is a good correlation between ASI and emergency medical patients’ condition.