COVID-19中预测死亡率的ROX、休克和舒张性休克指数。

IF 1.5 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Bratislava Medical Journal-Bratislavske Lekarske Listy Pub Date : 2024-01-01 DOI:10.4149/BLL_2024_76

Serdal Ates, Mehmet Okumus, Erdal Demirtas, Yahya Kemal Gunaydin, Sertac Guler

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引用次数: 0

摘要

研究目的本研究旨在确定呼吸频率氧合（ROX）、休克和舒张性休克指数在预测急诊科收治的2019年冠状病毒病（COVID-19）患者死亡率中的作用：背景：COVID-19病毒在短时间内蔓延全球，并引发了一场大流行。ROX、休克和舒张性休克指数被用于各种危及生命的临床情况。在急诊科分诊时使用这些指数可加快确定 COVID-19 患者的严重程度：方法：计算并记录 ROX、休克和舒张性休克指数。将患者分为三组：1）出院患者；2）住院患者；3）入住重症监护室患者：结果发现，舒张性休克指数升高和 ROX 指数降低是死亡率的独立危险因素。在预测死亡率方面，舒张性休克指数的敏感性和特异性分别为 61.2% 和 60.8%。然而，ROX指数的敏感性和特异性分别为73.1%和71.5%：总之，在对 COVID-19 患者进行评估时，我们发现 ROX 指数在预测死亡率方面比其他指数具有更高的敏感性和特异性（表 3，图 2，参考文献 18）。

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The ROX, shock and diastolic shock indexes in the prediction of mortality in COVID-19.

Objectives: The aim of this study is to determine the role of Respiratory Rate Oxygenation (ROX), shock, and diastolic shock indexes in predicting mortality in coronavirus disease 2019 (COVID-19) patients admitted to the emergency department.

Background: The COVID-19 spread worldwide in a short time and caused a major pandemic. The ROX, shock, and diastolic shock indexes are used in various life-threatening clinical situations. The use of these indexes in triage at emergency departments can accelerate the determination of COVID-19 patients' severity.

Methods: The ROX, shock and diastolic shock indices were calculated and recorded. Patients were divided into three groups; 1) who were discharged from the hospital, 2) who were admitted to the hospital and 3) who were admitted to the intensive care unit.

Results: Increased diastolic shock index and decreased ROX index were found to be independent risk factors for mortality. In the prediction of mortality, the sensitivity and specificity of the diastolic shock index were 61.2% and 60.8%, respectively. However, the sensitivity and specificity of ROX index was 73.1% and 71.5%, respectively.

Conclusion: In conclusion, we found that the ROX index had higher sensitivity and specificity than other indexes in predicting mortality in the evaluation of COVID-19 patients (Tab. 3, Fig. 2, Ref. 18).

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来源期刊

Bratislava Medical Journal-Bratislavske Lekarske Listy 医学-医学：内科

CiteScore

2.60

自引率

0.00%

发文量

185

审稿时长

3-8 weeks

期刊介绍： The international biomedical journal - Bratislava Medical Journal – Bratislavske lekarske listy (Bratisl Lek Listy/Bratisl Med J) publishes peer-reviewed articles on all aspects of biomedical sciences, including experimental investigations with clear clinical relevance, original clinical studies and review articles.