1 research outputs found
Risk factors of death at patient with severe influenza A(H1N1) pneumonia
In a service evaluation assessment we retrospectively reviewed the notes of 70 adult patients admitted to the hospital and subsequently confirmed to have contracted H1 N1 between November and December 2009. all these patients have hospitalized in ICU Yekaterinburg city. We have defined risk factors of death at patient with severe influenza A(H1 N1) pneumonia the accuracy of each score in predicting outcome was assessed by plotting the receiver operating characteristic (ROC) curve, calculating the area under the ROC curve (AUC) with 95% Confidence intervals and calculating odds ratio (OR). Predictors high risk of death, in our trial, are APACHE II score > 6; SOFA score > 3; LIS score > 2,5; leukocytes numbers 6 Π±Π°Π»Π»ΠΎΠ²; S0FA> 3 Π±Π°Π»Π»ΠΎΠ²; US > 2,5 Π±Π°Π»Π»ΠΎΠ²; ΡΠΈΡΠ»ΠΎ Π»Π΅ΠΉΠΊΠΎΡΠΈΡΠΎΠ² <2,7 Ρ
109/Π»; ΠΈΡ
ΡΠ½ΡΡ
ΡΠΎΡΠΌ Π»Π΅ΠΉΠΊΠΎΡΠΈΡΠΎΠ² <15 %; ΠΊΠΎΠ»ΠΈΡΠ΅ΡΡΠ²ΠΎ ΡΡΠΎΠΌΠ±ΠΎΡΠΈΡΠΎΠ² <148 Ρ
109/Π» ΠΈ ΠΊΠΎΡΡΡΠΈΡΠΈΠ΅Π½Ρ ΠΎΠΊΡΠΈΠ³Π΅Π½Π°ΡΠΈΠΈ Pa02/Fi02 <268 ΠΌΠΌ.ΡΡ.ΡΡ. ΠΠ· ΡΠΎΠΏΡΡΡΡΠ²ΡΡΡΠ΅ΠΉ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΠΈ Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ Π·Π½Π°ΡΠΈΠΌΠΎΠ΅ Π½Π΅Π³Π°ΡΠΈΠ²Π½ΠΎΠ΅ Π²Π»ΠΈΡΠ½ΠΈΠ΅ Π½Π° ΡΠ΅ΡΠ΅Π½ΠΈΠ΅ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡ ΠΎΠΊΠ°Π·ΡΠ²Π°ΡΡ ΠΎΠΆΠΈΡΠ΅Π½ΠΈΠ΅ β OΠ¨ =3,18 (95% ΠΠ 1.08-9,32), ΠΈ ΠΈΡΠ΅ΠΌΠΈΡΠ΅ΡΠΊΠ°Ρ Π±ΠΎΠ»Π΅Π·Π½Ρ ΡΠ΅ΡΠ΄ΡΠ° - 0Π¨=4,14 (95% Π Π 1,31 -3,18)