...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of cardiac failure >Decreasing body temperature predicts early rehospitalization in congestive heart failure.
【24h】

Decreasing body temperature predicts early rehospitalization in congestive heart failure.

机译：体温下降预示着充血性心力衰竭的早期住院治疗。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: In congestive heart failure (CHF), a low body temperature at hospital admission predicts in-hospital mortality. We hypothesized that a postdischarge reduction in body temperature predicts early CHF rehospitalization and death. METHODS: We reviewed the records of 198 patients discharged after CHF hospitalization. We categorized the patients as hypothermic or normothermic (cutoff point, 36.3 degrees C/97.4 degrees F) according to body temperature at discharge. We classified the 2 groups according to the direction of temperature change between discharge and the first follow-up visit: normothermicon-decreasing temperature (N+), normothermic/decreasing temperature (N-), hypothermicon-decreasing temperature (H+), and hypothermic/decreasing temperature (H-). RESULTS: Ninety-three patients (47%) had decreasing temperatures, and 105 patients (53%) had non-decreasing temperatures. Kaplan-Meier analysis revealed a significant intergroup difference in survival (P = .01) and rehospitalization time (P = .005). On logistic regression, a decreasing temperature was significantly associated with rehospitalization within 180 days (odds ratio, 4.01; 95% confidence interval, 1.63-10.02; P = .003). On Cox regression, the hazard ratios for death were 3.19 (P = .07), 6.49 (P = .004), and 5.17 (P = .07), for the N-, H+, and H- groups, respectively, versus the N+ group. For rehospitalization time, the hazard ratios were 7.02 (P = .01), 4.24 (P = .08), and 13.43 (P = .005) for the N-, H+, and H- groups, respectively, versus the N+ group. CONCLUSION: Decreasing body temperatures can predict readmission, decreased time to rehospitalization, and (in combination with hypothermia) decreased survival.
机译：背景：在充血性心力衰竭（CHF）中，入院时体温低可预测住院死亡率。我们假设放电后体温降低预示着CHF会再次住院和死亡。方法：我们回顾了198例CHF住院后出院的患者的记录。我们根据出院时的体温将患者分为体温过低或体温过低（临界点36.3摄氏度/97.4华氏度）。我们根据放电和第一次随访之间的温度变化方向将两组分为：常温/不降温（N +），常温/不降温（N-），低温/不降温（H +）。 ，以及低温/降温（H-）。结果：93例患者（47％）体温下降，105例患者（53％）体温不降低。 Kaplan-Meier分析显示，组间生存率（P = .01）和重新住院时间（P = .005）有显着差异。经逻辑回归分析，温度下降与180天内的住院治疗显着相关（赔率，4.01; 95％置信区间，1.63-10.02; P = 0.003）。根据Cox回归，N-，H +和H-组的死亡风险比分别为3.19（P = .07），6.49（P = .004）和5.17（P = .07） N +组。就住院时间而言，与N +组相比，N-，H +和H-组的危险比分别为7.02（P = .01），4.24（P = .08）和13.43（P = .005）。 。结论：降低体温可以预测再次入院，减少再次住院的时间，以及（与体温过低相结合）降低生存率。

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