Cardiac troponin Ⅰ and APACHE Ⅱ score predict myocardial dysfunction and adverse outcome in critically ill patients
- VernacularTitle:肌钙蛋白Ⅰ和APACHEⅡ评分在危重病患者预后中的应用价值
- Author:
Wei GU
;
Wenpeng YIN
;
Chunsheng LI
- Publication Type:Journal Article
- Keywords:
Critical illness;
Troponin Ⅰ;
Myocardial injury;
APACHE Ⅱ score
- From:
Chinese Journal of Practical Internal Medicine
2006;0(17):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To determine the incidence and effect of unrecognized cardiac injury in critically ill patients and evaluate the significance of elevations of serum troponin Ⅰ and APACHE Ⅱscore in patients with critically illness.Methods We measured the level of serum troponin Ⅰ and evaluated relationship between elevations of serum troponin Ⅰ and APACHE Ⅱ score,myocardial injury,mechanical ventilation,intensive care unit stay by means of retrospective chart review and analysis of clinical data.Results Thirty-four(21.4%)of the 159 patients had evidence of myocardial injury based on elevated levels of cardiac troponin Ⅰ,only 9(26.5%)of these 34 patients were diagnosed as having acute myocardial infaction by the intensive care unit staff.Mortality in patients with myocardial injury that was unrecogniazed(41.2%)or recognized(44.4%)was higher than in those without myocardial injury(16.0%)(P
