Value of early detection of cardiac troponin I and lactate in evaluating prognosis of emergency elderly patients with severe sepsis and septic shock
10.7619/jcmp.201709016
- VernacularTitle:早期心肌肌钙蛋白I及乳酸水平联合检测对急诊老年严重脓毒症及脓毒症休克患者预后的评估价值
- Author:
Chunyuan WANG
1
;
Tao CAO
;
Jian QIN
Author Information
1. 首都医科大学宣武医院 急诊科
- Keywords:
cardiac troponin I;
lactate;
severe sepsis;
sepsis shock;
prognosis
- From:
Journal of Clinical Medicine in Practice
2017;21(9):61-63,68
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore value of early detection of cardiac troponin I(cTnI) and lactate in evaluating prognosis of emergency elderly patients with severe sepsis and septic shock.Methods A total of 98 elderly patients with severe sepsis oRseptic shock were selected.The patients were divided into survival group and death group according to the prognosis with follow-up of 28 d.The levels of cTnI,lactate,APACHE Ⅱ score and SOFA score were compared between different groups.The correlation analysis was performed between cTnI,lactate and APACHE Ⅱ score,SOFA score.Results The level of lactate and cTnI,APACHE Ⅱ score and SOFA score in septic shock group were significantly higheRthan those in severe sepsis patients,and the level of lactate,cTnI,APACHE Ⅱ score and SOFA score in death group were significantly greateRthan those in survival group (P<0.05).The level of lactate and cTnI showed a certain correlation with APACHE Ⅱ score and SOFA score (P<0.05).The areas undeRthe ROC curve of cTnI and arterial blood lactate were 0.846 and 0.809 respectively.Conclusion The cTnI and arterial blood lactate can evaluate condition and prognosisof emergency elderly patients with severe sepsis and sepsis shock.
