多重创伤患者血清氯浓度与住院死亡率的关系。

Advanced Journal of Emergency Medicine Pub Date : 2019-08-11 eCollection Date: 2020-01-01 DOI:10.22114/ajem.v0i0.197
Azimeh Jahanipour, Leila Asadabadi, Mehdi Torabi, Moghadameh Mirzaee, Elham Jafari
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引用次数: 0

摘要

电解质紊乱是多发创伤患者的常见并发症;然而,在评估血清电解质时,氯化物的作用在文献中很少被提及。目的:探讨多发性创伤患者血清氯离子变化与住院死亡率的关系。方法:本横断面研究测量了100例多发性创伤患者入院时和24小时后的血清氯化物水平。使用病历对所有患者的住院死亡率进行随访。采用精确逻辑回归来衡量自变量对患者住院死亡率的影响。结果:住院死亡率15例(15%),入院时平均血氯浓度为106.37±4.53 mmol/l, 24 h后平均血氯浓度为112.18±6.16 mmol/l。虽然单因素分析显示,血清氯化物水平与入院后24小时死亡率独立相关(P=0.005),但在多因素分析中,这种相关性不显著。结论:本研究否定了血清氯化物水平在预测多发创伤患者住院死亡率中的潜在作用的假设。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The Correlation of Serum Chloride Level and Hospital Mortality in Multiple Trauma Patients.

The Correlation of Serum Chloride Level and Hospital Mortality in Multiple Trauma Patients.

Introduction: Electrolyte disorder is a prevalent complication in multiple trauma patients; nevertheless, the role of chloride has been rarely addressed in literature when evaluating serum electrolytes.

Objective: The present study was conducted to determine the correlation between serum chloride changes and hospital mortality in multiple trauma patients.

Method: The present cross-sectional study measured serum chloride levels in 100 multiple trauma patients upon their admission to the emergency department and 24 hours later. All these patients were followed up in terms of hospital mortality using their medical records. Exact logistic regression was used to measure the effects of independent variables on hospital mortality in the patients.

Results: Hospital mortality was found to be 15 (15%), and the mean serum chloride level to be 106.37±4.53 mmol/l upon admission and 112.18±6.16 mmol/l 24 hours later. Although the univariate analysis suggested that serum chloride levels were independently associated with mortality 24 hours after admission (P=0.005), this correlation was insignificant in the multivariate analysis.

Conclusion: The present study rejected the hypothesis suggesting the potential role of serum chloride levels in predicting hospital mortality in multiple trauma patients.

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