Analysis of risk factors affecting 90-day prognosis of patients with heat stroke
Objective To investigate the risk factors of 90-day prognosis in patients with heat stroke.Methods A retrospective analysis was performed on 89 patients with heat stroke admitted to the Department of Intensive Care Medicine,Mianyang Central Hospital from June 2018 to August 2022.They were divided in-to the survival group and the death group according to 90-day mortality.Data of age,temperature and heart rate at admission,cooling time,inflammation and laboratory data on organ dysfunction,acute physiology and chronic health evaluation Ⅱ score,Sequential Organ Failure Assessment(SOFA)score,and Glasgow Coma Scale score were compared between the two groups.Results Of the 89 patients,27(30.3％)died within 90 days.Cooling time,heart rate at admission,SOFA score were independent risk factors affecting patient surviv-al,and the differences were statistically significant(HR=6.230,1.738,1.042,95％confidence interval:2.561-14.521,1.026-2.114,1.011-1.427,P=0.004,0.002,0.023).The area under the working charac-teristic curve of the combination of cooling time,heart rate at admission,and SOFA score predicted the 90-day mortality of the patients with heat stroke was 0.993(95％CI:0.976-1.000,P＜0.001),the sensitivity was 1.000,and the specificity was 0.933.Conclusion Cooling time,heart rate on admission,and SOFA score are the factors affecting 90-day survival of patients with thermal radiation.The three indexes can be used in com-bination to predict 90-day mortality and poor prognosis.
万方数据
维普
