中国现代医生2024，Vol.62Issue(1)：7-10,14,5.DOI:10.3969/j.issn.1673-9701.2024.01.002
红细胞体积分布宽度在心脏停搏患者预后中的评估价值
Evaluation value of red cell volume distribution width in prognosis of patients with cardiac arrest
摘要
Abstract
Objective To evaluate the value of red cell volume distribution width(RDW)in the prognosis of patients with cardiac arrest(CA).Methods Clinical data of 146 CA patients admitted to intensive care unit(ICU)of Huzhou Central Hospital from January 2018 to October 2022 were retrospectively analyzed,and the patients were divided into survival group and death group according to the prognosis during ICU stay.The clinical data of two groups were compared,and the risk factors affecting the prognosis of CA patients were analyzed by multivariate Logistic regression.Receiver operating characteristic(ROC)curve was used to evaluate the predictive efficacy of RDW in CA patients.The survival curve was plotted by Kaplan-Meier method.Results A total of 146 CA patients were included in the analysis,among which 49 patients survived and 97 patients died,the mortality rate of CA patients in ICU was 66.44%.The scores of acute physiology and chronic health evaluation Ⅱ,RDW,blood sodium and alanine aminotransferase in death group were significantly higher than those in survival group,the time of cardiopulmonary resuscitation was significantly longer than that in survival group,and the length of ICU stay was significantly shorter than that in survival group(P<0.05).Multivariate Logistic regression analysis showed that RDW and time of cardiopulmonary resuscitation were independent risk factors for predicting death during ICU stay in CA patients(P<0.05).ROC curve results showed that RDW predicted death in CA patients with the area under curve of 0.742,the best cut-off value was 13.95%,the sensitivity was 59.8%,and the specificity was 85.7%.Patients with low RDW had significantly higher one-year cumulative survival rate than those with high RDW(χ2=18.757,P<0.001).Conclusion RDW was an independent risk factor for predicting death during ICU stay in CA patients.关键词
红细胞体积分布宽度/心脏停搏/预后Key words
Red cell volume distribution width/Cardiac arrest/Prognosis分类
医药卫生引用本文复制引用
叶莉莉,钟磊,姬晓伟,陈春荣,谢波..红细胞体积分布宽度在心脏停搏患者预后中的评估价值[J].中国现代医生,2024,62(1):7-10,14,5.基金项目
浙江省基础公益研究计划项目(LGD20H150001) （LGD20H150001）
