학술논문

Early warning of bloodstream infection in elderly patients with circulating microparticles
Document Type
article
Source
Annals of Intensive Care, Vol 11, Iss 1, Pp 1-9 (2021)
Subject
Microparticles
Elderly individuals
Bloodstream infection
Early warning model
Medical emergencies. Critical care. Intensive care. First aid
RC86-88.9
Language
English
ISSN
2110-5820
Abstract
Abstract Background The difficulty of early diagnosis of bloodstream infection in the elderly patients leads to high mortality. Therefore, it is essential to determine some new methods of early warning of bloodstream infection in the elderly patients for timely adjustment of treatment and improvement of prognosis. Methods Patients aged over 65 years with suspected bloodstream infections were included and divided into bloodstream infection (BSI) and non-bloodstream infection (non-BSI) groups based on blood culture results. The morphology of microparticles (MPs) was observed by using transmission electron microscopy, and the number of MPs was dynamically monitored by flow cytometry. Results A total of 140 patients were included in the study: 54 in the BSI group and 86 in the non-BSI group. Total MPs (T-MPs) ≥ 6000 events/µL (OR, 7.693; 95% CI 2.944–20.103, P