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Intens Care Med：经胸超声心动图与脓毒症死亡率！

2018-06-05 xing.T MedSci原创

TTE脓毒症死亡率
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由此可见，在脓毒症危重患者中，接受TTE检查与28天死亡率的改善有关。

虽然经胸超声心动图（TTE）在ICU中的使用正在迅速推广，但是TTE改变能否改善ICU败血症患者结局的能力还没有被评估。近日，危重病医学领域权威杂志Intensive Care Medicine上发表了一篇研究文章，该研究旨在评估这群患者TTE与28天死亡率之间的关联。

研究人员使用MIMIC-III数据库来确定接受或没有接受TTE检查的脓毒症患者。所采用的统计方法包括多元回归、倾向评分分析、双稳健估计、梯度提升模型和逆概率加权模型，以确保该研究结果的稳健性。

与对照组相比，接受TTE检查的患者28天死亡率显著改善（比值比=0.78，95%可信区间为0.68-0.90，P＜0.001）。接受TTE检查的患者液体给药量（第1天: 2.5 vs. 2.1L，P＜0.001）、多巴酚丁胺给药量（2% vs. 1%，P＝0.007）、去甲肾上腺素的最大剂量（1.4 vs. 1mg/min，P＝0.001）明显增加。更重要的是，接受TTE检查的患者停掉血管升压剂比未接受TTE检查的患者（28天中血管紧张素停用为第21天 vs. 第19天，P＝0.004）更快。

由此可见，在脓毒症危重患者中，接受TTE检查与28天死亡率的改善有关。

原始出处：

Mengling Feng, et al. Transthoracic echocardiography and mortality in sepsis: analysis of the MIMIC-III database.Intensive Care Medicine.2018. http://icmjournal.esicm.org/journals/abstract.html?v=0&j=134&i=0&a=5208_10.1007_s00134-018-5208-7&doi=

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    2019-02-06 12498561m42(暂无昵称)

    #经胸超声心动图#

    0

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    2019-02-10 智慧医人

    #心动图#

    0

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    2018-10-17 12498ebem19暂无昵称

    #TENS#

    0

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    2018-06-10 1dd8c52fm63(暂无匿称)

    学习学习.了解了解

    0

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    2018-06-07 ms3994565386320060

    #Med#

    0

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    2018-06-06 吴教授

    内容与结论有悖

    0

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    2018-06-06 张新亮1853311252142e2fm

    好文献学习了

    0

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    2018-06-06 张新亮1853311252142e2fm

    好文献学习了

    0

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Crit Care：经胸超声心动图是**估测危重患者心输出量的方法！

由此可见，危重病机械通气患者，CO-TTE是一种准确和精准的估算CO的方法，而且，CO-TTE可以准确地追踪CO的变量。