Prognostic value of the systemic immune-inflammation index in patients with acute respiratory distress syndrome: A retrospective study

pan, xiaodong; Xu, Junnan; Wu, He; Wang, Jie; Kong, wanquan

doi:10.1016/j.heliyon.2024.e26569

Heliyon

2024

DOI: 10.1016/j.heliyon.2024.e26569

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Prognostic value of the systemic immune-inflammation index in patients with acute respiratory distress syndrome: A retrospective study

xiaodong pan,

Junnan Xu,

He Wu

et al.

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Metabolic syndrome is associated with mortality in elderly patients with acute respiratory distress syndrome

Xu,

et al. 2024

Diabetol Metab Syndr

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Background This study aims to evaluate the association of metabolic syndrome (MetS) with the risk of all-cause mortality in elderly patients with acute respiratory distress syndrome (ARDS). Methods Elderly ARDS patients (≥ 65 years) enrolled from our hospital between January 2018 and July 2023 were divided into the MetS group or the non-MetS group. The outcomes were 28-day and 90-day all-cause mortality rates in the total population and two subgroups stratified by age (65–75 years and ≥ 75 years). Multivariate Cox regression was employed to assess the association of MetS with all-cause mortality, after controlling for potential cofounding factors. Results A total of 946 patients were divided into the MetS group ( n = 410) or the non-MetS group ( n = 536). The 28-day and 90-day all-cause mortality rates were significantly higher for MetS group compared to non-MetS group in the total population and two subgroups (all P < 0.01). Multivariate Cox regression indicated that MetS was significantly associated with a higher risk of 90-day all-cause mortality in the total population (HR = 1.62, 95% CI: 1.22–2.15; P < 0.01), and subgroups of patients aged 65–75 years (HR = 1.52, 95% CI: 1.04–2.21; P = 0.03) and ≥ 75 years (HR = 1.90, 95% CI: 1.23–2.94; P < 0.01). Moreover, with each MetS criterion added from 0 to 1 to 2, 3, and 4 of 4 criteria, both 28-day and 90-day all-cause mortality rates significantly increased (both P < 0.01). Conclusion MetS was associated with higher risks of 28-day and 90-day all-cause mortality in elderly patients with ARDS.

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Metabolic syndrome is associated with mortality in elderly patients with acute respiratory distress syndrome

Xu,

et al. 2024

Diabetol Metab Syndr

View full text Add to dashboard Cite

show abstract

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Prognostic value of the systemic immune-inflammation index in patients with acute respiratory distress syndrome: A retrospective study

Cited by 1 publication

References 27 publications

Metabolic syndrome is associated with mortality in elderly patients with acute respiratory distress syndrome

Metabolic syndrome is associated with mortality in elderly patients with acute respiratory distress syndrome

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