摘要
Abstract
Objective:To analyze the prognosis risk factors of type Ⅱ diabetes mellitus complicated with pneumonia.Methods:A total of 1 738 patients with type Ⅱ diabetes complicated with pneumonia hospitalized in Shanghai Fourth People's Hospital from January 2022 to December 2023 were selected for retrospective study.They were divided into survival group and death group according to prognosis.Logistic regression analysis was used to analyze the relationship between the patients'prognosis and factors such as gender,age,detection of multi-drug resistant organism(MDRO),sepsis,antibiotic use,whether to operate,whether to place a tube,and high blood glucose level.Results:There were 211 patients(12.1%)in the death group,with an average age of(80.43±11.10)years old,and 62.6%were males.There were 1 527 patients(87.9%)in the survival group,with an average age of(76.69±11.80)yeas old,and 56.2%were males.During hospitalization,the proportion of patients with MDRO(31.3%),antibiotics(57.3%),surgical records(66.4%),three catheterization procedures(56.4%),and discharge diagnosis of sepsis(19.4%)was higher in the death group than those in the survival group(14.3%,47.2%,47.0%,27.4%and 3.3%,respectively,P＜0.01 or P＜0.001).Binary logistic regression analysis showed that the elderly(OR=1.07,95%CI:1.04-1.09,P＜0.001),three catheter catheterization(OR=2.13,95%CI:1.39-3.24,P=0.001),sepsis(OR=9.85,95%CI:3.77-26.84,P＜0.001),high blood glucose level(OR=1.35,95%CI:1.27-1.45,P＜0.001)were independent risk factors for the death of type Ⅱ diabetes patients with pneumonia.Compared with patients without catheterization,patients with invasive tracheal intubation,catheterization combined with tracheal intubation,and catheterization were more likely to die.Conclusions:In type Ⅱ diabetes patients with pneumonia,old age,sepsis,triple catheterization and high blood glucose level are independent risk factors for death.Compared to patients without catheterization,patients with airway catheterization,those with catheterization combined with airway catheterization,and those with catheterization are more likely to die.关键词
2型糖尿病/肺炎/预后/置管/影响因素Key words
Type II diabetes/Pneumonia/Prognosis/Catheterization/Influence factor分类
医药卫生
