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Factors Influencing the Prognosis of Patients with Intra-Abdominal Infection and Its Value in Assessing Prognosis
Infection and Drug Resistance ( IF 3.9 ) Pub Date : 2021-08-24 , DOI: 10.2147/idr.s325386 Jianfei Pan 1 , Quanwei Zhu 1 , Xiaoqian Zhang 2 , Jun Xu 1 , Linlin Pan 1 , Xiang Mao 3 , Xiao Wu 1, 4
Infection and Drug Resistance ( IF 3.9 ) Pub Date : 2021-08-24 , DOI: 10.2147/idr.s325386 Jianfei Pan 1 , Quanwei Zhu 1 , Xiaoqian Zhang 2 , Jun Xu 1 , Linlin Pan 1 , Xiang Mao 3 , Xiao Wu 1, 4
Affiliation
Purpose: To explore the distribution of pathogenic bacteria in patients with intra-abdominal infection, to clarify the independent factors that affect the prognosis of patients with intra-abdominal infection and its evaluation value for prognosis.
Patients and Methods: The pathogens, underlying diseases, and related clinical data of patients with intra-abdominal infection from January 2012 to December 2019 in our hospital were retrospectively collected and the APACHE II score was calculated. The patients were divided into survival group and death group according to the prognosis, and the index between the two groups was compared. Spearman correlation analysis was used to evaluate the correlation between each index and prognosis, multivariate logistic regression analysis was used to screen the independent prognostic factors.
Results: Spearman correlation analysis showed that ALB level was negatively correlated with prognosis, age and APACHE II score were positively correlated with prognosis. Logistic regression analysis showed that age, ALB level, and APACHE II score were independent prognostic factors. The formula of age combined ALB level and APACHE II score was Y = X1-3.6X2 + 6.5X3 (X1 was the age, X2 was the ALB level and X3 was the APACHE II score), Y was positively correlated with poor prognosis, and the optimal cutoff value was Y = 40.96.
Conclusion: Age, ALB level, and APACHE II score are independent factors that influencing the prognosis of patients with intra-abdominal infection, and the combination of age, ALB level, and APACHE II score can better assess the prognosis of patients with intra-abdominal infection.
Keywords: intra-abdominal infection, formula, prognostic factors, the value of independent factors, single center
中文翻译：
影响腹腔感染患者预后的因素及其对预后的评价
目的：探讨腹腔感染患者病原菌分布情况，阐明影响腹腔感染患者预后的独立因素及其对预后的评价价值。
患者和方法：回顾性收集我院2012年1月至2019年12月腹腔感染患者的病原菌、基础疾病及相关临床资料，计算APACHEⅡ评分。根据预后将患者分为生存组和死亡组，比较两组间的指标。采用Spearman相关分析评价各指标与预后的相关性，采用多因素logistic回归分析筛选独立预后因素。
结果：Spearman相关分析显示ALB水平与预后呈负相关，年龄和APACHE II评分与预后呈正相关。Logistic回归分析显示，年龄、ALB水平和APACHE II评分是独立的预后因素。年龄结合 ALB 水平和 APACHE II 评分公式为 Y = X1-3.6X2 + 6.5X3（X1 为年龄，X2 为 ALB 水平，X3 为 APACHE II 评分），Y 与预后不良呈正相关，而最佳截止值为 Y = 40.96。
结论：年龄、ALB水平和APACHE II评分是影响腹腔感染患者预后的独立因素，年龄、ALB水平和APACHE II评分联合可以更好地评估腹腔感染患者的预后。感染。
【关键词】：腹腔感染 公式 预后因素 独立因素取值 单中心
更新日期：2021-08-24
Patients and Methods: The pathogens, underlying diseases, and related clinical data of patients with intra-abdominal infection from January 2012 to December 2019 in our hospital were retrospectively collected and the APACHE II score was calculated. The patients were divided into survival group and death group according to the prognosis, and the index between the two groups was compared. Spearman correlation analysis was used to evaluate the correlation between each index and prognosis, multivariate logistic regression analysis was used to screen the independent prognostic factors.
Results: Spearman correlation analysis showed that ALB level was negatively correlated with prognosis, age and APACHE II score were positively correlated with prognosis. Logistic regression analysis showed that age, ALB level, and APACHE II score were independent prognostic factors. The formula of age combined ALB level and APACHE II score was Y = X1-3.6X2 + 6.5X3 (X1 was the age, X2 was the ALB level and X3 was the APACHE II score), Y was positively correlated with poor prognosis, and the optimal cutoff value was Y = 40.96.
Conclusion: Age, ALB level, and APACHE II score are independent factors that influencing the prognosis of patients with intra-abdominal infection, and the combination of age, ALB level, and APACHE II score can better assess the prognosis of patients with intra-abdominal infection.
Keywords: intra-abdominal infection, formula, prognostic factors, the value of independent factors, single center
中文翻译：
影响腹腔感染患者预后的因素及其对预后的评价
目的：探讨腹腔感染患者病原菌分布情况，阐明影响腹腔感染患者预后的独立因素及其对预后的评价价值。
患者和方法：回顾性收集我院2012年1月至2019年12月腹腔感染患者的病原菌、基础疾病及相关临床资料，计算APACHEⅡ评分。根据预后将患者分为生存组和死亡组，比较两组间的指标。采用Spearman相关分析评价各指标与预后的相关性，采用多因素logistic回归分析筛选独立预后因素。
结果：Spearman相关分析显示ALB水平与预后呈负相关，年龄和APACHE II评分与预后呈正相关。Logistic回归分析显示，年龄、ALB水平和APACHE II评分是独立的预后因素。年龄结合 ALB 水平和 APACHE II 评分公式为 Y = X1-3.6X2 + 6.5X3（X1 为年龄，X2 为 ALB 水平，X3 为 APACHE II 评分），Y 与预后不良呈正相关，而最佳截止值为 Y = 40.96。
结论：年龄、ALB水平和APACHE II评分是影响腹腔感染患者预后的独立因素，年龄、ALB水平和APACHE II评分联合可以更好地评估腹腔感染患者的预后。感染。
【关键词】：腹腔感染 公式 预后因素 独立因素取值 单中心
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