Clinical Value of White Blood Cells in Predicting In-hospital Death in Patients with Acute Myocardial Infarction
Objective To investigate the clinical value of white blood cells in predicting in-hospital death in patients with acute myocardial infarction(AMI).Methods A total of 507 patients with AMI who were treated in our hospital from January 2014 to October 2022 were retrospectively analyzed.According to the number of white blood cells,they were divided into group A[white blood cell count(4-10)x109/L]and group B(white blood cell count＞10×10 9/L).The general data and in-hospital mortality were compared between the two groups.COX regression was used to analyze the predictors of death in AMI patients.Results There were significant differences in the number of white blood cells,age,EF value,smoking,postoperative statins,taking vasoactive drugs and MACE results between the two groups(P＜0.05).The in-hospital mortality of group A was 7.89‰,which was lower than 92.70‰ of group B,and the difference was statistically significant(P＜0.05).White blood cells,neutrophils,age,heart failure,and vasoactive drugs are independent factors affecting the death of AMI patients,that was,the high white blood cell count was 0.993 times than of the death probability of normal white blood cell count,high neutrophils was 1.052 times than of the normal neutrophils,older was 1.060 times younger,and heart failure was 4.423 times than of the absence of heart failure,the non-use of vasoactive drugs was 0.282 times that of vasoactive drugs.Conclusion White blood cells,neutrophils,age,heart failure,and vasoactive drugs are predictors of AMI death.The application of white blood cell count to predict the outcome of patients can help clinical decision-making.
万方数据
维普
