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《Chinese Journal of Critical Care Medicine》 2019-08
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Predictive value of dynamic serum phosphorus levels in the prognosis of entilator-associated pneumonia

Guo Ren-nan;Wang Lu;Xiao Dong;Intensive Care Unit,People's Hospital of Xin jiang Uygur Autonomous Region;  
Objective To explore the predictive value of dynamic serum phosphorus levels in the evaluation of prognosis in patients with ventilator-associated pneumonia(VAP).Methods A retrospective study was conducted.The VAP patients admitted to intensive care unit(ICU) of the People's Hospital of Xinjiang Uygur Autonomous Region from October 2016 to October 2017 were enrolled,who were≥65 years old.These patients were divided into survival group and death group according to 28-day outcome.The general information,the acute physiology and chronic health evaluation Ⅱ(APACHE Ⅱ) score within 24 hours of ICU admission,the serum phosphorus at 1,3,5,7 days after admission were collected.Receiver operating characteristic curve(ROC) was plotted according to the dynamic serum phosphorus levels for evaluating the predictive value of 28-day prognosis.Results A total of 63 patients with VAP were enrolled,APACHE Ⅱ score in the death group was significantly higher than that in the survival group.Invasive mechanical ventilation time in the death group was significantly higher than that in the survival group.In the survival group,the serum phosphorus level decreased at the early stage,but increased after five days.After the survival group was selected,the levels of serum phosphorus on 1 d,3 d,5 d and 7 d were respectively(mmol/L:1.05±0.22,0.90±0.16,0.94±0.25,1.02±0.25).The serum phosphorus level in the death group showed an overall downward trend,After the death group was selected,the levels of serum phosphorus on1 d,3 d,5 d and 7 d were respectively(mmol/L:0.98±0.23,0.83±0.10,0.80±0.14,0.81±0.25).There was no statistically significant difference between the two groups on 1 d and 3 d(P0.05).The serum phosphorus levels of the patients in the death group were lower than those in the survival group at both 5 d and 7 d with statistical significance(all P 0.05).ROC curve analysis showed serum phosphorus level on the 7 th day and 5 th day could significantly predict 28-day mortality in patients with VAP,and the areas under ROC curve(AUC) of them were 0.822 and 0.710 respectively(both P 0.01).However,there was no significant predictive value for 1 d and 3 d blood phosphorus levels,with an AUC of 0.590 and 0.674,respectively(both P0.01).Conclusion The continuous decline of serum phosphorus indicates poor prognosis,and the serum phosphorus level on the7 th day is one of the most important indicators to evaluate the prognosis of patients with VAP.
【CateGory Index】: R459.7;R563.1
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【Citations】
Chinese Journal Full-text Database 1 Hits
1 Yang Qiaoyun;Zhou Yi;Yu Jianfeng;Xu Dongrong;Jiang Jianhong;Liu Wenming;Department of Intensive Care Unit, the Second People's Hospital of Changzhou;;Predictive value of dynamic serum phosphorus levels in the prognosis of patients with sepsis[J];中華危重病急救醫學;2017-12
【Co-citations】
Chinese Journal Full-text Database 1 Hits
1 Guo Ren-nan;Wang Lu;Xiao Dong;Intensive Care Unit,People's Hospital of Xin jiang Uygur Autonomous Region;;Predictive value of dynamic serum phosphorus levels in the prognosis of entilator-associated pneumonia[J];中國急救醫學;2019-08
【Secondary Citations】
Chinese Journal Full-text Database 7 Hits
1 Wang Shengbiao;Li Tao;Li Yunfeng;Zhang Jianwen;Dai Xingui;Department of Critical Care Medicine,the First People's Hospital of Chenzhou;Department of Critical Care Medicine,Nafang Hospital,Southern Medical University;;Predictive value of four different scoring systems for septic patient's outcome:a retrospective analysis with 311 patients[J];中華危重病急救醫學;2017-02
2 Sun Rongqing;Sun Xiaoge;Yang Hongfu;Liu Qilong;Department of Surgical Intensive Care Unit,the First Affiliated Hospital of Zhengzhou University;;Retrospective analysis of serum C-reactive protein/albumin ratio for the prognosis of the adult patients with sepsis[J];中華危重病急救醫學;2016-05
3 ZhangXiaoli;Qu Yan;Huang Jianbo;Qingdao University;;A clinical study of sepsis patients with hypophosphatemia infected by different bacteria[J];中華急診醫學雜志;2014-05
4 HUANG Wei-ping;HUANG Cheng;WEN Miao-yun;JIANG Wen-qiang;ZENG Hong-ke;Department of Emergency & Critical Care Medicine,Guangdong General Hospital,Guangdong Academy of Medical Sciences;;Procalcitonin change patten in patients with septic shock and its relationship with prognosis[J];中華危重病急救醫學;2013-08
5 WANG Wu-chao, XUE Xiao-yan,LIU Yi-ran,et al.Emergency Department,the People's Hospital of Peking University,Beijing 100044,China;Relationship of initial serum phosphate with the mortality of the patients with sepsis[J];中國急救醫學;2012-11
6 FU Jia-hong, ZANG Bin.Shengjing Hospital Affiliated to China Medical University,Shenyang 110001,Liaoning,China;The occurrence of hypophosphatemia and its prognostic value in intensive care unit patients[J];中國危重病急救醫學;2012-01
7 SUN Cheng-dong,ZHANG Shu-wen,WANG Bao-en.Beijing Friendship Hospital,Capital University of Medical Sciences,Beijing 100050,China;The Clinical Significance of Hypophosphatemia in Patients with Sepsis[J];中國全科醫學;2005-20
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