{"title":"重症监护病人死亡率与白蛋白、碱性磷酸酶、磷和钙值随肾功能和营养变化的关系","authors":"A. Sahin Tutak","doi":"10.26502/acc.028","DOIUrl":null,"url":null,"abstract":"Objective To investigate the relationship between mortality and laboratory values that may change with renal function and nutrition, namely creatinine, ALP, albumin, phosphorus and calcium, in patients admitted to the intensive care unit (ICU). Method A total of 2549 patients older than 18 years of age, who were followed up in the ICU of our hospital between 2015-2018, had no history of malignancy or pregnancy, had a length of ICU stay longer than 24 hours, and had laboratory values available at the time of admission to ICU, were included in the study. Results The results of our study showed that advanced age and prolonged length of stay are associated with mortality (p<0.001). Low albumin and calcium values and high creatinine and ALP values at the time Anesth Crit Care 2021; 3 (4): 74-82 DOI: 10.26502/acc.028 Anesthesia and Critical Care 75 of ICU admission were a risk factor for mortality (p<0.001). Phosphorus value was not an important risk factor for mortality (p: 0.753). Conclusion In ICU patients, the relationship between mortality and renal function and laboratory values that may change with renal function and nutrition, namely creatinine, albumin, calcium, and ALP has been shown while no such relationship was observed between phosphorus values and mortality.","PeriodicalId":41147,"journal":{"name":"Pediatric Anesthesia and Critical Care Journal","volume":"67 1","pages":""},"PeriodicalIF":0.1000,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Relationship between Mortality and Albumin, Alkaline Phosphatase, Phosphorus and Calcium Values that May Change with Renal Function and Nutrition in Intensive Care Setting\",\"authors\":\"A. Sahin Tutak\",\"doi\":\"10.26502/acc.028\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective To investigate the relationship between mortality and laboratory values that may change with renal function and nutrition, namely creatinine, ALP, albumin, phosphorus and calcium, in patients admitted to the intensive care unit (ICU). Method A total of 2549 patients older than 18 years of age, who were followed up in the ICU of our hospital between 2015-2018, had no history of malignancy or pregnancy, had a length of ICU stay longer than 24 hours, and had laboratory values available at the time of admission to ICU, were included in the study. Results The results of our study showed that advanced age and prolonged length of stay are associated with mortality (p<0.001). Low albumin and calcium values and high creatinine and ALP values at the time Anesth Crit Care 2021; 3 (4): 74-82 DOI: 10.26502/acc.028 Anesthesia and Critical Care 75 of ICU admission were a risk factor for mortality (p<0.001). Phosphorus value was not an important risk factor for mortality (p: 0.753). Conclusion In ICU patients, the relationship between mortality and renal function and laboratory values that may change with renal function and nutrition, namely creatinine, albumin, calcium, and ALP has been shown while no such relationship was observed between phosphorus values and mortality.\",\"PeriodicalId\":41147,\"journal\":{\"name\":\"Pediatric Anesthesia and Critical Care Journal\",\"volume\":\"67 1\",\"pages\":\"\"},\"PeriodicalIF\":0.1000,\"publicationDate\":\"2021-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pediatric Anesthesia and Critical Care Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.26502/acc.028\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"ANESTHESIOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric Anesthesia and Critical Care Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.26502/acc.028","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
目的探讨重症监护病房(ICU)患者死亡率与随肾功能和营养变化的实验室指标肌酐、ALP、白蛋白、磷、钙的关系。方法选取2015-2018年在我院ICU随访的年龄大于18岁、无恶性肿瘤病史、无妊娠史、ICU住院时间大于24小时、入院时有实验室检查结果的2549例患者作为研究对象。结果我们的研究结果显示,高龄和住院时间延长与死亡率相关(p<0.001)。Anesth Crit Care 2021时,低白蛋白和钙值,高肌酐和ALP值;3 (4): 74-82 DOI: 10.26502/acc.028麻醉和重症监护是ICU住院患者死亡的危险因素(p<0.001)。磷值不是死亡率的重要危险因素(p: 0.753)。结论在ICU患者中,死亡率与肾功能的关系以及随肾功能和营养变化的实验室指标肌酐、白蛋白、钙、ALP均有变化,而磷与死亡率无关系。
Relationship between Mortality and Albumin, Alkaline Phosphatase, Phosphorus and Calcium Values that May Change with Renal Function and Nutrition in Intensive Care Setting
Objective To investigate the relationship between mortality and laboratory values that may change with renal function and nutrition, namely creatinine, ALP, albumin, phosphorus and calcium, in patients admitted to the intensive care unit (ICU). Method A total of 2549 patients older than 18 years of age, who were followed up in the ICU of our hospital between 2015-2018, had no history of malignancy or pregnancy, had a length of ICU stay longer than 24 hours, and had laboratory values available at the time of admission to ICU, were included in the study. Results The results of our study showed that advanced age and prolonged length of stay are associated with mortality (p<0.001). Low albumin and calcium values and high creatinine and ALP values at the time Anesth Crit Care 2021; 3 (4): 74-82 DOI: 10.26502/acc.028 Anesthesia and Critical Care 75 of ICU admission were a risk factor for mortality (p<0.001). Phosphorus value was not an important risk factor for mortality (p: 0.753). Conclusion In ICU patients, the relationship between mortality and renal function and laboratory values that may change with renal function and nutrition, namely creatinine, albumin, calcium, and ALP has been shown while no such relationship was observed between phosphorus values and mortality.