Multiple Organ Dysfunction Syndrome after Pulmonary Infection in Elderly: 169 Case Report
- VernacularTitle:老年肺部感染并发多器官功能不全综合征169例临床研究
- Author:
Qingwu TAN
- Publication Type:Journal Article
- Keywords:
multiple organ dysfunction syndrome, multiple organ failure, pulmonary infection, elderly
- From:
Chinese Journal of Rehabilitation Theory and Practice
2009;15(5):476-478
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical feature of multiple organ dysfunction syndrome in the elderly (MODSE) induced by pulmonary infection. Methods The clinical sign of 169 cases with MODSE induced by pulmonary infection admitted from January 2001 to September 2006 were reviewed. Results All cases complicated more than one chronic disease. 82.9% cases complicated more than 4 chronic diseases. The first failure organ of MODSE induced by pulmonary infection included lung, heart, kidney or gastrointestinal tract, and the respiratory failure was the most commonly. The incidence of primary failure in organs dysfunction group was significantly higher than those in organs normal function group (P<0.001). Binary Logistic stepwise regression showed that clinical stage of MODSE, renal failure and circulatory failure were the high risk factors for mortality （P＜0.05）. Conclusion Lung or other dysfunction organs is the first failure organ in MODSE induced by pulmonary infection in most cases. Clinical stage of MODSE, renal failure and circulatory failure were the high risk factors for mortality. The mortality of MODSE may be reduced by preventing renal failure and circulatory failure.
