CAJ | 학술논문

目的：探讨影响老年性重症肺炎伴呼吸衰竭患者短期预后的相关因素。方法：回顾性分析89例老年性重症社区获得性肺炎患者的临床资料，通过Logistic回归的方法寻找影响患者临床预后的相关因素。结果：老年性重症肺炎伴呼吸衰竭患者存活组与死亡组之间在谵妄的发生率、CURB-65评分及血肌酐之间有统计学差异(P<0.001)。 Logistic回归分析显示谵妄与高CURB-65评分是患者死亡的独立危险因素。两组患者之间基础疾病状况无显著统计学差异。结论：对于老年性社区获得性肺炎患者而言，谵妄与CURB-65高分值是预测患者死亡的独立危险因素。
목적：탐토영향노년성중증폐염반호흡쇠갈환자단기예후적상관인소。방법：회고성분석89례노년성중증사구획득성폐염환자적림상자료，통과Logistic회귀적방법심조영향환자림상예후적상관인소。결과：노년성중증폐염반호흡쇠갈환자존활조여사망조지간재섬망적발생솔、CURB-65평분급혈기항지간유통계학차이(P<0.001)。 Logistic회귀분석현시섬망여고CURB-65평분시환자사망적독립위험인소。량조환자지간기출질병상황무현저통계학차이。결론：대우노년성사구획득성폐염환자이언，섬망여CURB-65고분치시예측환자사망적독립위험인소。
Objective:To evaluate predictors of in-hospital outcome in elderly patients hospitalized for severe CAP. Methods:In this retrospective study, consecutive patients with CAP aged more than 65 years were enrolled in LuAn hospital ICU. Clinical and laboratory characteristics were collected from electronic medical records. The end-point of the study was the occurrence of in-hospital death. 89 patients were enrolled. Results:There are signifi-cant difference in CURB-65,rate of delirium and creatinine between two groups (P<0.001). At multivariate analysis, independent predictors of in-hospital death were occurrence of at least one episode of delirium and CURB-65 score . Conclusion:in this cohort of elderly patients, the occurrence of delirium was highly prevalent and represented a dis-tinctive predictor of death.