Study on the scoring system for early predictim of multiple organ dysfunction syndrome induced by pulmonary infection in elderly patients
10.3760/cma.j.issn.0254-9026.2010.06.008
- VernacularTitle:老年人肺部感染并发多器官功能不全综合征的早期预测评分系统研究
- Author:
Qingwu TAN
;
Qinghua LI
- Publication Type:Journal Article
- Keywords:
Multiple organ failure;
Respiratory tract infection;
Early diaghosis;
Forecasting
- From:
Chinese Journal of Geriatrics
2010;29(6):467-471
- CountryChina
- Language:Chinese
-
Abstract:
Objective To establish the scoring system for early prediction of multiple organ dysfunction syndrome (MODSE) induced by pulmonary infection in the elderly. Methods A total of 393 inpatients with pulmonary infection, aged 60 years and over, were enrolled in this study and the data of them from January 2001 to December 2006 were analyzed retrospectively. All patients were divided into MODSE group and non-MODSE group. The effects of age, chronic disease and blood test items of healthy examination on the pathogenesis of MODSE were explored. The early prediction indexes which were selected from age, 21 chronic diseases and 15 blood test items of healthy examination were scored to establish the scoring system for early predicting MODSE. Results The age, chronic obstructive pulmonary disease, chronic respiratory failure, pulmonary fibrosis, chronic cardiac insufficiency, cerebrovascular disease, diabetes, chronic renal failure, hemoglobin, albumin,urea nitrogen and fasting blood glucose were selected to establish the scoring system for early predicting MODSE. Conclusions The scoreing system for early predicting MODSE may be used to screen the high risk population of MODSE induced by pulmonary infection, which is valuable in early prediction of MODSE.
