...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Open access Emergency Medicine >Hypercapnia at Hospital Admission as a Predictor of Mortality
【24h】

Hypercapnia at Hospital Admission as a Predictor of Mortality

机译：医院入院的Hypercapnia作为死亡率的预测

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Introduction: Hypercapnia is an indicator of ventilatory exhaustion. There is some disagreement regarding whether hypercapnia is also a predictor of mortality. In this prospective study, we aimed to investigate whether hypercapnia can predict in-hospital and 1-year mortality rates in patients with dyspnea or pulmonary diseases. Patients and Methods: All patients with dyspnea or pulmonary diseases underwent routine blood gas analysis at hospital admission. During the 12-month enrollment period, 2710 patients were enrolled, and 588 patients with hypercapnia at admission were identified. Of the 1626 normocapnic patients, 62 were randomly selected as controls. In-hospital and 1-year mortality rates were determined. Results: There were significant increases in mortality rate between acute hypercapnic patients and both chronic hypercapnic patients and normocapnic controls. Their in-hospital mortality rates were 17%, 6.7% and 3.2%, respectively. Their 1-year mortality rates were 32%, 20.2% and 14.5%, respectively. The 1-year mortality rates of hypercapnic patients with different underlying diseases were 24.6% (chronic obstructive pulmonary disease), 28.4% (congestive heart disease), 1.6% (obstructive sleep apnea syndrome/obesity hypoventilation syndrome), 50.9% (pneumonia), 0% (suppressed central respiratory drive, primarily due to opiate abuse) and 22.8% (other conditions). Discussion: The 1-year mortality rate of patients with acute hypercapnia at hospital admission was 32%, with significant differences compared to chronic hypercapnic patients (20.2%) and normocapnic patients (14.5%). There was a wide range of 1-year mortality rates between the hypercapnic patients with different underlying diseases.
机译：简介：Hypercapnia是通风耗尽的指标。关于Hypercapnia是否也是死亡率的预测因素存在一些分歧。在这项前瞻性研究中，我们旨在调查Hypercapnia是否可以预测呼吸困难或肺病患者的医院和1年的死亡率。患者及方法：所有患有呼吸困难或肺病的患者在医院入院时经历了常规血气分析。在12个月的入学期间，注册了2710名患者，并确定了588例患有588名患有的患者。在1626名NormoCapnic患者中，62例被随机选择作为对照。在医院和1年的死亡率率确定。结果：急性高钙患者与慢性高型患者和炔诺人控制之间的死亡率显着增加。他们的住院死亡率分别为17％，6.7％和3.2％。他们的1年死亡率分别为32％，20.2％和14.5％。患有不同潜水疾病的1年性患者的死亡率为24.6％（慢性阻塞性肺病），28.4％（充血性心脏病），1.6％（阻塞性睡眠呼吸暂停综合征/肥胖呼吸悬浮综合征），50.9％（肺炎）， 0％（抑制中央呼吸驱动，主要是由于鸦片滥用）和22.8％（其他条件）。讨论：医院入院急性高腺癌患者的1年死亡率为32％，与慢性高碳化患者（20.2％）和NormoCapnic患者（14.5％）相比，差异显着。患有不同潜在疾病患者的杂质患者之间存在广泛的1年死亡率。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号