湖北科技学院学报（医学版）2026，Vol.40Issue(1)：49-53,5.DOI:10.16751/j.cnki.2095-4646.2025052107
细胞分布宽度与白蛋白比值对免疫受损宿主肺炎预后的预测价值
The Predictive Value of Cell Distribution Width and Albumin Ratio for the Prognosis of Pneumonia in Immunocompromised Hosts
摘要
Abstract
Objective To investigate the predictive value of the ratio of plasma red blood cell distribution width(RDW)to serum al-bumin(Alb)(RAR)for the prognosis in patients with immunocompromised host pneumonia(ICHP).Methods ICHP patients who visited the Respiratory and Critical Care Department in Jilin Province People's Hospital were enrolled and categorized into survival and non-survival groups based on their 28-day outcomes.General information and experimental examination indicators of patients were used to evaluate the re-lationship between RAR and 28-day mortality rate through univariate analysis,multivariate logistic regression analysis,subject operating curve,and survival analysis.Results Compared with the survival group,the age,disease duration,proportion of chronic kidney disease,pro-portion of chronic lung disease,ground glass opacities,SOFA score,APACHE Ⅱscore,presence of respiratory distress syndrome,RDW,and RAR were higher in the death group.In contrast,the oxygenation index,Alb,Red blood cell count were lower.Multivariate regression analysis showed that RAR was independently associated with 28-day mortality in ICHP patients.The mortality risk of RAR was AUC 0.770(95%CI 0.725～0.815),with a sensitivity of 0.806 and a specificity of 0.587 at an optimal cutoff value of 4.232.Conclusion RAR has good pre-dictive value for the 28-day prognosis of ICHP patients.关键词
免疫受损宿主肺炎/红细胞分布宽度与白蛋白比值/红细胞分布宽度/白蛋白/预测价值Key words
Immune compromised host pneumonia/Red blood cell distribution width to albumin ratio/Red blood cell distribution width/Albumin/Predictive value分类
医药卫生引用本文复制引用
金鑫,吴春风..细胞分布宽度与白蛋白比值对免疫受损宿主肺炎预后的预测价值[J].湖北科技学院学报（医学版）,2026,40(1):49-53,5.基金项目
吉林省卫生健康科技能力提升项目(2021LC069) （2021LC069）
