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Relationship between coagulopathy score and ICU mortality: Analysis of the MIMIC-IV database.
Xie, Zhijie; Zhu, Suijun; Wang, Jun; Zhang, Min; Lv, Xuan; Ma, Yijun; Shan, Hua; Zhong, Yinjun.
Afiliación
  • Xie Z; Master of Medicine, The First People's Hospital of Linping District, Department of Neurosurgery, China.
  • Zhu S; Bachelor of Medicine, The First People's Hospital of Linping District, Department of Neurosurgery, China.
  • Wang J; Master of Medicine, The First People's Hospital of Linping District, Department of Neurosurgery, China.
  • Zhang M; Bachelor of Nursing, The First People's Hospital of Linping District, Department of Neurosurgery, China.
  • Lv X; Master of Medicine, The First People's Hospital of Linping District, Department of Neurosurgery, China.
  • Ma Y; Master of Medicine, The First People's Hospital of Linping District, Department of Neurosurgery, China.
  • Shan H; Master of Medicine, The First People's Hospital of Linping District, Department of Neurosurgery, China.
  • Zhong Y; Bachelor of Medicine, The First People's Hospital of Linping District, Department of Neurosurgery, China.
Heliyon ; 10(14): e34644, 2024 Jul 30.
Article en En | MEDLINE | ID: mdl-39130418
ABSTRACT

Objective:

Coagulopathy score has been applied as a new prognostic indicator for sepsis, heart failure and acute respiratory failure. However, its ability to forecast intensive care unit (ICU) mortality in patients with an acute cerebral hemorrhage (ICH) has not been assessed. The purpose of this study was to clarify the relationship between ICU mortality and early coagulation problem score.

Methods:

Data from the Medical Information Mart for Intensive Care (MIMIC-IV) (v2.0) database were used in this retrospective cohort analysis. The association between the coagulation disorder score and ICU mortality was examined using multivariate logistic regression. Furthermore, the impact of additional variables on the results was investigated by a subgroup analysis.

Results:

3174 patients (57.3 % male) were enrolled in total. The ICU mortality reached 18.2 %. After adjusting for potential confounders, the ICU mortality of patients rose with the increase of coagulation disorder score. The ROC curve revealed the predictive accuracy of coagulation dysfunction score to mortality in patients with ICU. The coagulation disorder score had a lower AUC value (0.601, P < 0.001) than the SAPSII(AUCs of 0.745[95 % CI, 0.730-0.761]) and the combined indicators(AUCs of 0.752[95 % CI, 0.737-0.767]), but larger than single indicators platelet, INR and APTT. In the subgroup analysis, most subgroups showed no significant interaction, but only age showed significant interaction in the adjusted model.

Conclusion:

The coagulopathy score and ICU mortality were found to be strongly positively correlated in this study, and its ability to predict ICU mortality was better than that of a single measure (platelet, INR, or APTT), but worse than that of the SAPSII score, GCS system.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Heliyon Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Heliyon Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido