右心室损伤评分对老年脓毒症患者院内结局的预测价值
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Predictive value of right ventricular injury score forin-hospital outcome in elderly patients with sepsis
ChenLi，LiuYa，XuWei** ShanghaiNinth People's Hospital，Shanghai JiaoTong University Schoolof Medicine，Shanghai ** Corresponding author：Xu Wei，email：2422157904@ qq.com
[Abstract]ObjectiveToinvestigate thevalueofright ventricular injury（RVI）scorebasedonechocardiography inpredicting n-hospitaloutcomeinelderlypatientswithsepsis.MethodsAtotalof86elderlypatientswithsepsisadmitedtoShanghai NinthPeoplesHospitalfromJanuary2O21toOctober2O23wereselectedasthesubjectsofthisstudyanddividedintodeathgroup（18 cases）andsurvivalgroup（68cases）according toheterdeathoccurrdinthehospital.Multivariatelgisticregresionanalyss was conductedtoanaletheiflueningfactorsofin-hospitaloutcomesofelderlypatientswithsepsis.OCcurveanalysisoftheprditive valueofRVIscoreinin-hospitaloutcomesofelderlypatientswithsepsis.ResultsThereeresignificantdiferencesinmechanical ventiltion，omplicatios，ureatrogn，rocalioinactivatedpartialthombintie，prothrombintie，cutephysiologadh nic health status score （APACHE II），and RVI score between the survival group and the death group （ P<0.05 ）； multivariate logisticregressionanalysis wasperformed withtheaboveindicators asdependentvariables，andtheresultsshowedthatureanitrogen（ OR= （204号 3.726，95%CI： 1.538 to 9.028），procalcitonin （ OR=1 .125， 95%CI ：1.068 to 1.185），APACHE Ⅱ（ ，95 %CI ： 1.457 to 2.510），and RVI score（ OR=16.087 ，95% CI ：2.639 to 98.O59）were independent factors for in-hospital death in elderly patients with sepsis （ P<0.05 ）；ROC curve showed that the AUC of RVI score in predicting the risk of in-hospital death in patients with sepsis was 0.853（ 95%CI ： 0.750 to O.956），the sensitivity was O.833，the specificity was 0.926，the maximum Youden index was0.759，andtheoptimalthresholdwas1.935scores.ConclusionEchocardiography-basedRVIscorehasahighpredictivevalue inpredictingin-hospitaloutcomesinelderlypatintswithsepsisandcanbeusedasoneoftheimportantindicatorsforin-hospialoutcome risk assessment.
Key words] Sepsis；Right ventricular injury score；In-hospital outcome；Echocardiography
老年脓毒症作为一种严重且常见的感染性疾病，具有高发病率和死亡率，是全球老年患者死亡的主要因素之一[]。（剩余7801字）
