Clinical Manifestations and Risk Factors Associated with 14 Deaths following Swarm Wasp Stings in a Chinese Tertiary Grade A General Hospital: A Retrospective Database Analysis Study.
Clinical Manifestations and Risk Factors Associated with 14 Deaths following Swarm Wasp Stings in a Chinese Tertiary Grade A General Hospital: A Retrospective Database Analysis Study.
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DOI：
10.3390/jcm12185789
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发表时间：
2023-09-06
影响因子：
3.9
通讯作者：
中科院分区：
文献类型：
--
作者：
简介：目的是评估中毒严重程度评分（PSS）作为黄蜂蜇伤患者的早期预后预测因子，并确定相关的临床特征和死亡率的危险因素。方法：选取2016年1月至2018年12月在遂宁市中心医院就诊的363例黄蜂蜇伤患者。在入院后24 h内，采用中毒严重度评分（PSS）和中国蜂蜇伤规范化诊疗专家共识（CECC）进行严重度分级，并分析其相关性。然后根据出院状态将患者分为生存组和死亡组。采用Logistic回归分析影响患者预后的因素。结果：马蜂蜇伤死亡率为3.9%。发现PSS和CECC与严重程度分类相关。此外，女性性别、年龄、蜇伤次数和PSS被确定为黄蜂蜇伤患者死亡的独立危险因素。结合这四个因素，预测死亡的AUC为0.962。结论：PSS有助于黄蜂蜇伤的早期严重程度分类。女性、年龄、蜇伤次数和PSS是这些患者死亡的独立危险因素。
Introduction: The objective was to evaluate the poisoning severity score (PSS) as an early prognostic predictor in patients with wasp stings and identify associated clinical characteristics and risk factors for mortality. Methods: A total of 363 patients with wasp stings at Suining Central Hospital between January 2016 and December 2018 were enrolled. Within the first 24 h of admission, the poisoning severity score (PSS) and the Chinese expert consensus on standardized diagnosis and treatment of wasp stings (CECC) were utilized for severity classification, and their correlation was examined. Patients were then divided into survival and death groups based on discharge status. Logistic regression analysis was employed to analyze factors influencing patients’ outcomes. Results: The mortality of wasp sting patients was 3.9%. The PSS and CECC were found to correlate for severity classification. Additionally, female gender, age, number of stings, and PSS were identified as independent risk factors for mortality in wasp sting patients. Combining these four factors yielded an AUC of 0.962 for predicting death. Conclusions: PSS aids in early severity classification of wasp stings. Female gender, age, number of stings, and PSS were independent mortality risk factors in these patients.
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影响因子：
2.1
作者：
JOHANSSON, B;ERIKSSON, A;ORNEHULT, L
通讯作者：
ORNEHULT, L
影响因子：
14.2
作者：
Heddle, Robert;Smith, Anthony;Petrovsky, Nikolai
通讯作者：
Petrovsky, Nikolai
DOI：
10.3109/15563659809028940
发表时间：
1998-01-01
期刊：
JOURNAL OF TOXICOLOGY-CLINICAL TOXICOLOGY
影响因子：
--
作者：
Persson, HE;Sjöberg, GK;de Garbino, JP
通讯作者：
de Garbino, JP
影响因子：
--
作者：
Yang, Xianyi;Chai, Lin;Fang, Zhicheng
通讯作者：
Fang, Zhicheng
影响因子：
3.7
作者：
Xie, Cuihong;Xu, Shabei;Wang, Wei
通讯作者：
Wang, Wei