BACKGROUND: The effect of blood eosinophils(EOSs) on mortality in acute respiratory distress syndrome(ARDS) patients and whether corticosteroids affect this effect are unclear.METHODS: The Medical Information Mart for...BACKGROUND: The effect of blood eosinophils(EOSs) on mortality in acute respiratory distress syndrome(ARDS) patients and whether corticosteroids affect this effect are unclear.METHODS: The Medical Information Mart for Intensive Care III database(version 1.4) was used to extract data. Patients with ARDS were selected for inclusion. Cox regression models using the backward stepwise method and propensity score matching(PSM) were used to assess the relationship between blood EOS counts and 28-day mortality. RESULTS: A total of 2,567 patients with ARDS were included, and the 28-day mortality rate was 24.19%. The crude 28-day mortality was significantly lower in patients with EOS counts ≥2%(18.60% [85/457] vs. 25.40% [536/2,110], P=0.002) than in those with EOS counts <2%. In the Cox regression model, the EOS counts ≥2% showed a significant association with the decreased 28-day mortality(hazard ratio [HR] 0.731;95% confidence interval [95% CI] 0.581–0.921, P=0.008). In the corticosteroid non-use subgroup, EOS counts ≥2% was significantly related to decreased 28-day mortality(HR 0.697, 95% CI 0.535–0.909, P=0.008), but the result was not significant in the corticosteroid non-use subgroup model(P=0.860). A total of 457 well-matched pairs were obtained by a 1:1 matching algorithm after PSM. The 28-day mortality remained significantly lower in the EOS counts ≥2% group(18.60% [85/457] vs. 26.70% [122/457], P=0.003).CONCLUSIONS Higher EOS counts are related to lower 28-day mortality in ARDS patients, and this relationship can be counteracted by using corticosteroids.展开更多
探究低温对红耳龟(Trachemys scripta elegans)免疫功能和应激反应能力的影响,揭示红耳龟适应低温环境的生理学和免疫学基础,为深入了解其入侵生物学提供基础资料。采用活体背甲下静脉窦采血技术,测定了6℃、17℃和26℃条件下处理1、5和...探究低温对红耳龟(Trachemys scripta elegans)免疫功能和应激反应能力的影响,揭示红耳龟适应低温环境的生理学和免疫学基础,为深入了解其入侵生物学提供基础资料。采用活体背甲下静脉窦采血技术,测定了6℃、17℃和26℃条件下处理1、5和10 d时血液中各型白细胞百分比及嗜异性粒细胞与淋巴细胞的比值(ratio of heterophils to lymphocytes,H/L),以及第10天采血后植物血凝素(phytohemagglutinin-P,PHA-P)反应的变化。结果显示:(1)随着温度下降,第1天只有嗜碱性粒细胞的百分比显著升高(P<0.05),此差异在第5天和第10天消失(P>0.05);第5天,嗜酸性粒细胞的百分比和H/L先升后降,淋巴细胞的百分比先降后升,单核细胞的百分比下降(P<0.05);第10天,嗜酸性粒细胞的百分比上升,淋巴细胞、嗜异性粒细胞和单核细胞的百分比,以及H/L下降(P<0.05);(2)随着处理天数延长,除嗜碱性粒细胞的百分比无组内差异外(P>0.05),其他类型白细胞的百分比及H/L都有组内差异(P<0.05);(3)6℃组、17℃组和26℃组对PHA-P的反应分别在注射后48 h、24 h和48 h达到峰值,但组间差异不显著(P>0.05)。红耳龟通过调整血液中嗜酸性粒细胞等不同类型白细胞的百分比、下降的应激反应能力和提前发生反应的免疫应答来适应低温的短期胁迫。展开更多
文摘BACKGROUND: The effect of blood eosinophils(EOSs) on mortality in acute respiratory distress syndrome(ARDS) patients and whether corticosteroids affect this effect are unclear.METHODS: The Medical Information Mart for Intensive Care III database(version 1.4) was used to extract data. Patients with ARDS were selected for inclusion. Cox regression models using the backward stepwise method and propensity score matching(PSM) were used to assess the relationship between blood EOS counts and 28-day mortality. RESULTS: A total of 2,567 patients with ARDS were included, and the 28-day mortality rate was 24.19%. The crude 28-day mortality was significantly lower in patients with EOS counts ≥2%(18.60% [85/457] vs. 25.40% [536/2,110], P=0.002) than in those with EOS counts <2%. In the Cox regression model, the EOS counts ≥2% showed a significant association with the decreased 28-day mortality(hazard ratio [HR] 0.731;95% confidence interval [95% CI] 0.581–0.921, P=0.008). In the corticosteroid non-use subgroup, EOS counts ≥2% was significantly related to decreased 28-day mortality(HR 0.697, 95% CI 0.535–0.909, P=0.008), but the result was not significant in the corticosteroid non-use subgroup model(P=0.860). A total of 457 well-matched pairs were obtained by a 1:1 matching algorithm after PSM. The 28-day mortality remained significantly lower in the EOS counts ≥2% group(18.60% [85/457] vs. 26.70% [122/457], P=0.003).CONCLUSIONS Higher EOS counts are related to lower 28-day mortality in ARDS patients, and this relationship can be counteracted by using corticosteroids.
文摘探究低温对红耳龟(Trachemys scripta elegans)免疫功能和应激反应能力的影响,揭示红耳龟适应低温环境的生理学和免疫学基础,为深入了解其入侵生物学提供基础资料。采用活体背甲下静脉窦采血技术,测定了6℃、17℃和26℃条件下处理1、5和10 d时血液中各型白细胞百分比及嗜异性粒细胞与淋巴细胞的比值(ratio of heterophils to lymphocytes,H/L),以及第10天采血后植物血凝素(phytohemagglutinin-P,PHA-P)反应的变化。结果显示:(1)随着温度下降,第1天只有嗜碱性粒细胞的百分比显著升高(P<0.05),此差异在第5天和第10天消失(P>0.05);第5天,嗜酸性粒细胞的百分比和H/L先升后降,淋巴细胞的百分比先降后升,单核细胞的百分比下降(P<0.05);第10天,嗜酸性粒细胞的百分比上升,淋巴细胞、嗜异性粒细胞和单核细胞的百分比,以及H/L下降(P<0.05);(2)随着处理天数延长,除嗜碱性粒细胞的百分比无组内差异外(P>0.05),其他类型白细胞的百分比及H/L都有组内差异(P<0.05);(3)6℃组、17℃组和26℃组对PHA-P的反应分别在注射后48 h、24 h和48 h达到峰值,但组间差异不显著(P>0.05)。红耳龟通过调整血液中嗜酸性粒细胞等不同类型白细胞的百分比、下降的应激反应能力和提前发生反应的免疫应答来适应低温的短期胁迫。
