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入院肌酐水平在预测慢性心力衰竭患者进行性肾功能损害中的作用

杨晓红 郑晓晖 郝增光 葛慧敏 王培

中国伤残医学Issue(14):13-15,3.
中国伤残医学Issue(14):13-15,3.DOI:10.13214/j.cnki.cjotadm.2015.14.007

入院肌酐水平在预测慢性心力衰竭患者进行性肾功能损害中的作用

Prediction of creatinine level at admission for worsening renal function in patients with chronic heart failure

杨晓红 1郑晓晖 1郝增光 1葛慧敏 1王培1

作者信息

  • 1. 河南省安阳地区医院心内二科,河南安阳 455000
  • 折叠

摘要

Abstract

Objective:To describe the prediction of creatinine level at admission for worsening renal function( WRF) in patients with&nbsp;chronic heart failure.Methods:Data was collected in a nested case-control study on 211 subjects who were hospitalized with HF (66 patients with WRF, de? ned as a rise in serum creatinine level≥26.5umol/L[0.3mg/dL], and 145 control subjects ).Compared the differentiation of creatinine level at admission between the two groups, and multivariable analysis was used to identify independent predic-tors for WRF.Get the best critical value of creatinine using ROC curve.Results: Creatinine level at admission was higher in the case group (P<0.05).Creatinine level at admission was a independent predictor for WRF (OR=2.248,95%CI:1.088~4.647).The best critical value of creatinine was 112.85umol/L, sensitivity:0.638, specificity:0.592. Conclusion: Creatinine level at admission was higher in the case group.Creatinine level at admission could predict the occurrence of WRF.

关键词

心力衰竭/肾功能损害/入院肌酐水平

Key words

Heart failure/Worsening renal function/Creatinine level at admission

分类

医药卫生

引用本文复制引用

杨晓红,郑晓晖,郝增光,葛慧敏,王培..入院肌酐水平在预测慢性心力衰竭患者进行性肾功能损害中的作用[J].中国伤残医学,2015,(14):13-15,3.

中国伤残医学

1673-6567

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