Một số yếu tố liên quan đến kết quả điều trị nhiễm khuẩn hô hấp cấp nặng nhiễm virus hợp bào hô hấp tại khoa Hồi sức Tích cực - Chống độc Bệnh viện Sản Nhi Nghệ An

Some factors related to the results of treatment of severe acute respiratory infections infected with respiratory syncytial virus (RSV) at the Intensive Care - Poison Control Department, Nghe An Obstetrics and Pediatrics Hospital. Subjects and research methods: 78 patients diagnosed with severe acute respiratory syndrome coronavirus infection treated at the Intensive Care Unit and Anti-Poisoning Department of Nghe An Obstetrics and Pediatrics Hospital. Results: The age group under 6 months accounts for 84.6% and is more common in males than in females. Severe respiratory infections account for 73.1% and very severe cases account for 26.9%. Regarding treatment results, the patient death rate is 6.4%. The group of patients with multiple organ failure had an 35,43 times higher risk of death than the group without multiple organ failure (95% CI: 3,46-362,86; p =0,001). The group of patients with signs of shock had a 42 times higher risk of death than the group without signs of shock (95% CI: 4,02-438,57; p = 0,001). The group of patients with prothrombin concentration < 70% had a 65 times higher risk of death (95% CI: 5,82-725,69; p = 0,00). The group of patients with albumin concentration ≤ 30 g/l had an 88 times higher risk of death (95% CI: 7.38-1048; p = 0.00). Patients with blood lactate concentration > 2.5 mmol/l have an 20,4 times higher risk of death (2,06 - 202,21; p = 0,006). Conclusion: Factors related to the risk of death in patients with severe ARI and RSV infection are: multiple organ failure, shock, blood lactate concentration > 2.5mmol/l, albumin < 30 g/l and prothrombin < 70%.