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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 61 - 68 (8page)
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Purpose: This retrospective study evaluated the clinical utility of the delta neutrophil index (DNI) as a predictor of mortality in critically ill surgical patients with Acinetobacter baumannii (AB) pneumonia. Methods: The medical records of 104 surgical patients with AB pneumonia treated from March 2011 to October 2014 were reviewed and analyzed. Results: The mean patient age was 60.8±18.8 years, and the mean Acute Physiology and Chronic Health Evaluation II score was 15.8±5.3. At the time of culture, 16 patients (15.4%) had renal failure, and the median DNI was 2.7% (0∼39.4%). Twenty-four patients (23.1%) died from infection during intensive care unit admission. Bivariate analysis indicated that several factors were associated with mortality, namely age, occurrence of shock, renal failure, low platelet count and elevated DNI at the time of culture. Logistic regression analysis revealed that elevated DNI (odds ratio [OR], 1.136; 95% confidence interval [CI], 1.001∼1.288), acute renal failure (OR, 3.811; 95% CI, 1.025∼14.176) and decreased platelet count (OR, 0.994; 95% CI, 0.989∼1.000) at the time of culture are associated with mortality. When a receiver-operating characteristics curve was constructed to determine the optimal cut-off value to predict mortality within seven days of the bacterial culture, the area under the curve was 0.839 (95% CI, 0.694∼ 0.985) and the cut-off DNI value was 6.85%. Conclusion: DNI may be an effective predictor of mortality in critically ill surgical patients with AB pneumonia. (J Acute Care Surg 2017;7:61-68)
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참고문헌 (24)
참고문헌 신청
Liu Q / 2015 / Risk and prognostic factors for multidrug-resistant acinetobacter baumannii complex bacteremia: a retrospective study in a tertiary hospital of West China / PLoS One 10:e0130701
Kim SB / 2014 / Incidence and risk factors for carbapenem-and multidrug-resistant Acinetobacter baumannii bacteremia in hematopoietic stem cell transplantation recipients / Scand J Infect Dis 46:81~88
Trottier V / 2007 / Outcomes of Acinetobacter baumannii infection in critically ill surgical patients / Surg Infect (Larchmt) 8:437~443
Katsaragakis S / 2010 / Predictors of mortality of Acinetobacter baumannii infections : a 2-year prospective study in a Greek surgical intensive care unit / Am J Infect Control 38:631~635
Eberle BM / 2010 / The impact of Acinetobacter baumannii infections on outcome in trauma patients : a matched cohort study / Crit Care Med 38:2133~2138
Kim SB / 2014 / Incidence and risk factors for carbapenem-and multidrug-resistant Acinetobacter baumannii bacteremia in hematopoietic stem cell transplantation recipients / Scand J Infect Dis 46:81~88
Trottier V / 2007 / Outcomes of Acinetobacter baumannii infection in critically ill surgical patients / Surg Infect (Larchmt) 8:437~443
Katsaragakis S / 2010 / Predictors of mortality of Acinetobacter baumannii infections : a 2-year prospective study in a Greek surgical intensive care unit / Am J Infect Control 38:631~635
Eberle BM / 2010 / The impact of Acinetobacter baumannii infections on outcome in trauma patients : a matched cohort study / Crit Care Med 38:2133~2138
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