A Valuable Tool in Predicting Poor Outcome due to Sepsis in Pediatric Intensive Care Unit: Tp-e/QT Ratio

被引：20

作者：

Ozdemir, Rahmi ^{[1
]}

Isguder, Rana ^{[2
]}

Kucuk, Mehmet ^{[1
]}

Karadeniz, Cem ^{[1
]}

Ceylan, Gokhan ^{[2
]}

Katipoglu, Nagehan ^{[2
]}

Yilmazer, Murat Muhtar ^{[1
]}

Yozgat, Yilmaz ^{[1
]}

Mese, Timur ^{[1
]}

Agin, Hasan ^{[2
]}

机构：

[1] Izmir Dr Behcet Uz Childrens Hosp, Dept Pediat Cardiol, 1374 St 11, Izmir, Turkey

[2] Izmir Dr Behcet Uz Childrens Hosp, Dept Pediat Intens Care Unit, Izmir, Turkey

来源：

JOURNAL OF TROPICAL PEDIATRICS | 2016年 / 62卷 / 05期

关键词：

sepsis; pediatric intensive care unit; Tp-e; QT ratio; mortality; P-WAVE DISPERSION; SEPTIC SHOCK; END INTERVAL; QT DISPERSION; MORTALITY; RISK; PEAK; ASSOCIATION; CHILDREN; LACTATE;

D O I：

10.1093/tropej/fmw021

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Methods: Ninety-three patients diagnosed with sepsis, severe sepsis or septic shock and 103 age- and sex-matched healthy children were enrolled into the study. PWd, QT interval, QTd, Tp-e interval and Tp-e/QT, Tp-e/QTc ratios were obtained from a 12-lead electrocardiogram. Results: PWd, QTd, Tp-e interval and Tp-e/QT, Tp-e/QTc ratios were significantly higher in septic patients compared with the controls. During the study period, 41 patients had died. In multivariate logistic regression analyses, only Tp-e/QT ratio was found to be an independent predictor of mortality. Conclusion: The ECG measurements can predict the poor outcome in patients with sepsis. The Tp-e/QT ratio may be a valuable tool in predicting mortality for patients with sepsis in the PICU.

引用

页码：377 / 384

页数：8

共 40 条

[1] Capillary refill time exploration during septic shock [J].

Ait-Oufella, H. ;

Bige, N. ;

Boelle, P. Y. ;

Pichereau, C. ;

Alves, M. ;

Bertinchamp, R. ;

Baudel, J. L. ;

Galbois, A. ;

Maury, E. ;

Guidet, B. .

INTENSIVE CARE MEDICINE, 2014, 40 (07) :958-964

[2]

Allessie MA, 2001, CIRCULATION, V103, P769

[3]

Bazett HC, 1920, HEART-J STUD CIRC, V7, P353

[4] Behavior of the Electrocardiographic T Peak to End Interval in Childhood [J].

Benatar, Abraham ;

Carbonez, Karlien .

ANNALS OF NONINVASIVE ELECTROCARDIOLOGY, 2010, 15 (01) :11-16

[5] Tpeak-Tend Interval in 12-Lead Electrocardiogram of Healthy Children and Adolescents Tpeak-Tend Interval in Childhood [J].

Bieganowska, Katarzyna ;

Sawicka-Parobczyk, Malgorzata ;

Bieganowski, Maciej ;

Piskorski, Jaroslaw .

ANNALS OF NONINVASIVE ELECTROCARDIOLOGY, 2013, 18 (04) :344-351

[6]

Casado-Flores Juan, 2003, Pediatr Crit Care Med, V4, P190, DOI 10.1097/01.PCC.0000059420.15811.2D

[7] Association of P-Wave Dispersion with Overall and Cardiovascular Mortality in Hemodialysis Patients [J].

Chen, Szu-Chia ;

Su, Ho-Ming ;

Huang, Jiun-Chi ;

Chang, Ko ;

Tsai, Yi-Chun ;

Chen, Ling-I ;

Chang, Jer-Ming ;

Hwang, Shang-Jyh ;

Chen, Hung-Chun .

AMERICAN JOURNAL OF NEPHROLOGY, 2015, 42 (03) :198-205

[8] QTc interval length and QT dispersion as predictors of mortality in patients with non-insulin-dependent diabetes [J].

Christensen, PK ;

Gall, MA ;

Major-Pedersen, A ;

Sato, A ;

Rossing, P ;

Breum, L ;

Pietersen, A ;

Kastrup, J ;

Parving, HH .

SCANDINAVIAN JOURNAL OF CLINICAL & LABORATORY INVESTIGATION, 2000, 60 (04) :323-332

[9] The relationship of serum lactate and base deficit in burn patients to mortality [J].

Cochran, Amalia ;

Edelman, Linda S. ;

Saffle, Jeffrey R. ;

Morris, Stephen E. .

JOURNAL OF BURN CARE & RESEARCH, 2007, 28 (02) :231-240

[10]

de Bruyne MC, 1998, CIRCULATION, V97, P467

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