摘要
目的探讨影响ICU危重病患儿预后的相关因素分析。方法对本院ICU危重患儿临床参数统计分析,相关危险因素采用多元logistic逐步回归分析。结果21个单因素进行logistic单因素分析有11个有统计学意义,再将有统计学意义的11个因素作logistic逐步回归分析,最终有6个因素进入了logistic回归方程,即住ICU时间、危重病例评分、血Ca2+、pH、有创诊疗、机械通气时间,其中住ICU时间为保护性因素,其余5个为死亡的危险因素。结论在没有有效的治疗方案前,应充分认识危重症的危险因素,采取积极干预措施有可能降低病死率。
Objective To identify the prognosis factors for children admitted to the pediatric intensive care unit（PICU）. Methods Logistic analysis was performed to identify risk factors associated with prognosis. Results Univariate analysis identified 11 risk factors. On multivariate analysis,length of PICU stay, pediatric critical illness score （PCIS）, serum calcium concentration,hydrogenion concentration,invasive procedures,length of mechanical ventilation were independent risk factors for prognosis. Conclusion Prevention of risk factors may play a key role in decreasing mortality for children in intensive care unit.
出处
《重庆医学》
CAS
CSCD
北大核心
2009年第15期1934-1936,1938,共4页
Chongqing medicine
关键词
危重病
预后
危重病例评分
全身炎症反应综合征
LOGISTIC模型
pediatric intensive care unit（PICU）
prognosis
pediatric critical illness score（PCIS）
systemic inflammatory response syndrome（SIRS）
logistic analysis
