Value of NPR,HBP,and APACHEⅡ score in assessing the prognosis of patients with respiratory failure
Objective his study aimed to evaluate the prognostic value and significance of the NPR,HBP,and APACHEⅡscore in patients with respiratory failure.Methods We retrospectively analyzed 140 cases of respiratory failure admitted to the Department of Critical Care Medicine at Maanshan Shiqiye Hospital from May 2021 to May 2023.Clinical data were collected,and measurements including PLT,HBP,D-dimer,CRP,blood gas levels(PaO2 and PaCO2),and APACHEⅡ score were conducted within 24 hours of admission.Patients were categorized into survival(n=105)and death(n=35)groups based on their 28-day survival post-admission.Pearson correlation and logistic regression analyses were applied to assess the correlation between these indicators and patient prognosis.Results The death group exhibited lower PLT and PaO2 compared to the survival group.Conversely,NPR,HBP,D-dimer,CRP,PaCO2,and APACHE Ⅱ score were higher in the death group than in the survival group.Statistically significant differences were observed(t=3.750,4.588,12.868,11.014,3.353,9.804,7.303,6.710,P<0.05).Pearson correlation analysis revealed that NPR,HBP,and APACHE Ⅱ score were negatively correlated with PLT and PaO2 and positively correlated with D-dimer,CRP,and PaCO2 in patients with respiratory failure(P<0.05).Logistic regression analysis identified NPR,HBP,PaCO2,and APACHE Ⅱ score as risk factors for poor prognosis in respiratory failure patients(P<0.05).Conclusion The incidence of poor prognosis is significant in patients with respiratory failure,with elevated levels of NPR,HBP,PaCO2,and APACHE Ⅱ score being valuable for prognosis assessment.Clinical attention should be given to patients with increased values of these indicators to improve their prognosis through monitoring and treatment.
Peripheral blood neutrophil-to-platelet ratioHeparin-binding proteinAcute physiology and chronic health evaluationRespiratory failure