首页|ACEF评分与成人心脏术后患者呼吸机使用时间延长及重症监护时间延长的相关性研究

ACEF评分与成人心脏术后患者呼吸机使用时间延长及重症监护时间延长的相关性研究

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目的 探究年龄、肌酐和射血分数(ACEF)评分与成人心脏术后患者呼吸机使用时间延长及重症监护时间延长的相关性。方法 回顾性分析2019年1月至6月在本院心外重症监护二科接受成人心脏外科手术的416例患者的临床资料。以ACEF评分三分位法将患者分为三组[T1组(137例,ACEF评分0。40~0。67分)、T2组(144例,ACEF评分>0。67~0。94分)及T3组(135例,ACEF评分>0。94~4。12分)]。通过单因素和多因素Logistic回归模型结合限制性立方样条模型(RCS)分析ACEF评分与术后呼吸机使用时间延长及重症监护时间延长的相关性及反应曲线关系。结果 在校正多种因素的影响后,RCS分析结果显示,术前ACEF评分与术后呼吸机使用时间延长及重症监护时间延长的发生风险之间呈线性关系(非线性检验P>0。05)。三组间ACEF评分越高,术后呼吸机使用时间延长、重症监护时间延长的发生风险越高(趋势性检验P<0。001)。结论 ACEF评分对成人心脏术后患者呼吸机使用时间延长及重症监护时间延长具有预测价值。
Study on the correlation between ACEF score and prolonged ventilator usagetime and intensive care time in adult cardiac surgery patients
Objective To explore the correlation between Age,Creatinine,and Ejection Fraction(ACEF)score and prolonged ventilator usagetime and intensive care time in adult cardiac surgery patients.Methods The clinical data of 416 patients who underwent adult cardiac surgery in the No.2 extracardiac intensive care department in our hospital from January to June 2019 were retrospectively analyzed.The patients were divided into three groups by ACEF score using the third percentile method[group T1(137 cases,ACEF score 0.40-0.67 points),group T2(144 cases,ACEF score>0.67-0.94 points)and group T3(135 cases,ACEF score>0.94-4.12 points)].Univariate and multivariate Logistic regression models combined with restricted cubic splines(RCS)were used to analyze the correlation between ACEF score and postoperative prolonged ventilator usagetime and intensive care time and the response curve.Results After adjusting for the influence of multiple factors,RCS analysis results showed that there was linear relationship between preoperative ACEF score and the risk of postoperative prolonged ventilator usagetime and intensive care time(non-linear test P>0.05).The higher the ACEF score among the three groups,the higher the risk of postoperative prolonged ventilator usagetime and intensive care time(trend test P<0.001).Conclusion ACEF score has predictive value for prolonged ventilator usagetime and intensive care time in adult cardiac surgery patients.

Age,Creatinine,and Ejection Fractioncardiac surgeryventilator usagetimeintensive care time

李佳慧、张汉军、臧鑫、王玮

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南方医科大学附属广东省人民医院(广东省医学科学院),广东广州,510080

年龄、肌酐和射血分数 心脏外科手术 呼吸机使用时间 重症监护时间

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(5)
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