Predictive value of perfusion index for mortality in mechanically ventilated patients

Er M. C., Kaya C., Üstün Y. B., Sahinoglu A. H.

AGING MALE, cilt.23, sa.5, ss.1251-1258, 2020 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 23 Sayı: 5
  • Basım Tarihi: 2020
  • Doi Numarası: 10.1080/13685538.2020.1760816
  • Dergi Adı: AGING MALE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, Abstracts in Social Gerontology, AgeLine, CINAHL, EMBASE, MEDLINE, SportDiscus
  • Sayfa Sayıları: ss.1251-1258
  • Anahtar Kelimeler: Intensive care unit, perfusion index, mortality predictors, RESPIRATORY-DISTRESS-SYNDROME, IN-HOSPITAL MORTALITY, PERIPHERAL PERFUSION, OXYGEN-SATURATION, TISSUE PERFUSION, PULSE OXIMETRY, INJURY, TRENDS, SCORE
  • Ondokuz Mayıs Üniversitesi Adresli: Evet

Özet

Aim: This study aimed to examine the prognostic significance of the perfusion index (PI) in mechanically ventilated patients. Methods: Study included sixty patients who had the risk factors for the development of acute respiratory distress syndrome and received mechanical ventilator (MV) support in intensive care unit (ICU) unit between January 2017/January 2018. The demographic characteristics, vital signs, blood gas parameters, lactate levels, prognostic scores, and use of inotropic drugs were recorded. Arterial blood gas and PI measurements at the frontal region were performed at the time of and 12th and 24th hours of admission to the ICU. The patients were followed up for 60 days, and the outcome was recorded. Results: Twelve patients (20%) died during the first 7 days, and 27 patients (45%) died within 60 days of the admission. Multivariate analyses to determine potential predictors of 7 and 30-day mortality showed that only 24th-hour lactate level was independent predictor of 60-day mortality, and the PI at 24th was the sole independent predictor of 7-day mortality. Conclusion: The PI did not predict 60-day mortality in MV patients who had risk factors for the development of Acute Respiratory Distress Syndrome (ARDS). However, the PI at 24th may be a significant predictor of 7-day mortality.