Đánh giá sự thay đổi các thông số PaO2/FiO2, SPO2/FiO2 trong quá trình điều trị và kết quả điều trị bệnh nhân suy hô hấp tiến triển do cúm A tại Bệnh viện Bệnh Nhiệt đới Trung ương (2019-2021)

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Văn Giang Trần, Tư Thế Bảo Trương

Ngôn ngữ: vie

Ký hiệu phân loại: 616.241 *Pneumonia

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2021

Mô tả vật lý: 290-293

Bộ sưu tập: Metadata

ID: 498340

Thêm vào giỏ

Describe the change of parameters PaO2/FiO2, SPO2/FiO2 during treatment and treatment results of patients with Acute Respiratory Distress Syndromecaused (ARDS) caused by influenza A at the National Hospital of Tropical Diseases (2019 - 2021). Materials and methodes: Cross-sectional description of 30 patients with Acute Respiratory Distress Syndromecaused (ARDS) caused by influenza A. Results: In the group of surviving patients, the PaO2/FiO2 index gradually increased during treatment, the increase was significant with p <
0.05. In the group of patients who died, the PaO2/FiO2 index tended to remain unchanged during treatment, the difference was not significant with p >
0.05. Pre-treatment PaO2/FiO2 and SPO2/FiO2 ratios are associated with mortality. The area under the curve (AUC) of PaO2/FiO2 was 0.625, the cut-off point was 90, the sensitivity and specificity of mortality prediction were 89% and 42%. The area under the curve (AUC) of SPO2/FiO2 was 0.727, the cut-off point was 116, and the sensitivity and specificity of mortality prediction were 89% and 58%. Overall mortality in the study was 40%.Mô tả được sự thay đổi các thông số PaO2/FiO2, SPO2/FiO2 trong quá trình điều trị và kết quả điều trị bệnh nhân suy hô hấp tiến triển do cúm A tại Bệnh viện Bệnh nhiệt đới Trung Ương (2019 - 2021). Đối tượng & phương pháp: mô tả cắt ngang 30 bệnh nhân suy hô hấp tiến triển (ARDS) do cúm A. Kết quả: Ở nhóm bệnh nhân sống sót chỉ số PaO2/FiO2 tăng dần trong quá trình điều trị, mức tăng có ý nghĩa với p <
0,05. Nhóm bệnh nhân tử vong, chỉ số PaO2/FiO2 có xu hướng không thay đổi trong quá trình điều trị, sự khác biệt không có ý nghĩa với p >
0,05. Tỷ số PaO2/FiO2 và SPO2/FiO2 trước điều trị có liên quan với tỷ lệ tử vong. Diện tích dưới đường cong AUC của PaO2/FiO2 là 0,625, điểm cắt là 90 thì độ nhạy và độ đặc hiệu của tiên đoán tử vong lần lượt là 89% và 42%. Diện tích dưới đường cong AUC của SPO2/FiO2 là 0,727, điểm cắt là 116, độ nhạy và độ đặc hiệu của tiên đoán tử vong lần lượt là 89% và 58%. Tỷ lệ tử vong chung trong nghiên cứu là 40%.

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