抽象的
在社区获得的肺炎(帽)中,可能通过早期鉴定需要重症监护治疗的患者来减少死亡率。本研究的目的是确定帽子患者的预后因素,以便建立临床适用的判别规则。关于流行病学,临床,实验室和微生物数据,回顾性地审查了92名患者的九十二次。预后分析包括单变量和多变量方法,以便在向后逐步选择模型中使用COX回归危险功能识别与死亡相关的参数。发现为模型的重要性贡献的三个参数用于判别结果的判别规则中使用。发现在幸存者和非幸存者之间的参数具有明显不同的是心率,收缩性和舒张性,平均血压,白细胞计数,淋巴细胞的百分比,乳酸脱氢酶(LDH)值。多变量分析表明,心率,收缩动脉压和LDH血清水平与致命结果最密切相关。A prognostic rule composed of the variables heart rate > or = 90 beats.min-1, systolic arterial blood pressure < or = 80 mmHg, and LDH > or = 260 U.l-1 achieved a sensitivity of 77%, a specificity of 75%, and positive and negative predictive values of 42 and 93%, respectively. It was associated with a six fold increased risk of fatal outcome. In conclusion, heart rate, systolic blood pressure, and LDH values were most closely associated with death in a multivariate analysis.(ABSTRACT TRUNCATED AT 250 WORDS)