Investigation on the predictive value of the dynamic changes of EVLWI and PVPI on the prognosis of ARDS patients

To investigate the dynamic changes of extra vascular lung water index (EVLWI) and pulmonary vascular permeability index (PVPI) on the prognosis of acute respiratory distress syndrome (ARDS), and predict the risk factors affecting prognosis of ARDS. 70 patients meeting ARDS Berlin definition, who wer...

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Veröffentlicht in:Zhong hua yi xue za zhi 2015-10, Vol.95 (39), p.3163-3167
Hauptverfasser: Zhu, Jinyuan, Wang, Xiaohong, Yang, Xiaojun, Yang, Xiaojuan, Ding, Huan, Liu, Qinfu, Cao, Xiangyuan, Ma, Xigang
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container_end_page 3167
container_issue 39
container_start_page 3163
container_title Zhong hua yi xue za zhi
container_volume 95
creator Zhu, Jinyuan
Wang, Xiaohong
Yang, Xiaojun
Yang, Xiaojuan
Ding, Huan
Liu, Qinfu
Cao, Xiangyuan
Ma, Xigang
description To investigate the dynamic changes of extra vascular lung water index (EVLWI) and pulmonary vascular permeability index (PVPI) on the prognosis of acute respiratory distress syndrome (ARDS), and predict the risk factors affecting prognosis of ARDS. 70 patients meeting ARDS Berlin definition, who were admitted to the ICU from July 2012 to July 2014, were analyzed with a prospective method. The patients were divided into a survival group and a death group according to their survival situation in 28 days. EVLWI (EVLWI1-EVLWI4), PVPI (PVPI1-PVPI4), DeltaEVLWI (subtracting EVLWI day 4 from day 1), and DeltaPVPI (subtracting PVPI day 4 from day 1) of the two groups of patients from the 1st day to the 4th day were monitored by the pulse indicator continuous cardiac output (PiCCO). Parameters including the acute physiology and chronic health evaluation (APACHE II) score, sequential organ failure assessment (SOFA) score, EVLWI, PVPI, DeltaEVLWI, DeltaPVPI, oxygenation index (OI), CVP, the number of organ dysfunction w
doi_str_mv 10.3760/cma.j.issn.0376-2491.2015.39.002
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subjects APACHE
Blood Gas Analysis
Capillary Permeability
Cardiac Output
Extravascular Lung Water
Humans
Monitoring, Physiologic
Prognosis
Prospective Studies
Respiratory Distress Syndrome, Adult
Risk Factors
ROC Curve
title Investigation on the predictive value of the dynamic changes of EVLWI and PVPI on the prognosis of ARDS patients
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