Early indicators of inflammation as a predictor of prognosis in acute respiratory distress syndrome due to wasp stings
Objective:To investigate the prediction of early inflammatory markers on the prognosis of acute re-spiratory distress syndrome due to wasp sting.Methods:By selecting 50 patients admitted to the Department of Emergency Medicine and Branch Hospital of Taihe Hospital Affiliated to Hubei Medical College from January 2017 to December 2023 with hornet sting causing acute respiratory distress syndrome,they were divided into the survival group(23 cases)and the death group(27 cases)according to the 28-day prognosis.Early inflammatory markers[white blood cell count(WBC),absolute neutrophil count(NEUT#),absolute lymphocyte count(LYMPH#),monocyte count(EO #),procalcitoninogen(PCT),C-reactive protein(CRP),and neutrophil-to-lymphocyte ratio(NLR)]were compared in the 2 groups of study subjects,and the differences in early inflamma-tory markers were analysed between these 2 groups.Results:Early inflammatory markers were significantly dif-ferent in the two groups of patients with acute respiratory distress syndrome due to wasp sting,with WBC 16.76 ×109/L(13.43×109/L,23.00×109/L),NEUT# 16.45×109/L(12.96×109/L,21.84×109/L),CRP 9.86(3.04,19.22)mg/L,PCT 8.05(7.12,10.29)μg/L,and NLR 22.53(19.06,26.24)were significantly lower than those of patients in the death group and(P＜0.05).One-way logistic analysis showed that WBC,NEUT#,CRP,PCT and NLR were statistically significant.Meanwhile,the specificity and sensitivity of early inflammatory markers were further verified by ROC curve.Conclusion:The results of this study indicate that elevated early in-flammatory markers are important factors in the poor prognosis of patients,which may provide some insights into the clinical diagnosis and treatment of ARDS caused by wasp stings.
wasp stingacute respiratory distress syndromeearly inflammatory markersprognosis
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