Systemic immune inflammation index as a predictor of disease severity in tetanus patients: A retrospective observational study
2024

Predicting Tetanus Severity with the Systemic Immune Inflammation Index

Sample size: 34 publication 10 minutes Evidence: high

Author Information

Author(s): Cheng Dai, Wenying Ding, Jizheng Huang, Wei Sun, Liang Li, Guolei Han, Hao Yang

Primary Institution: Department of Intensive Care Medicine, No.2 People’s Hospital of Fuyang City, Fuyang, China

Hypothesis

The systemic immune inflammation index (SII) can predict the severity of disease in tetanus patients.

Conclusion

The SII can serve as an objective predictive indicator for tetanus patients requiring ICU treatment.

Supporting Evidence

  • The SII was significantly higher in tetanus patients requiring ICU treatment compared to those not requiring ICU.
  • An increase in SII was identified as a risk factor for ICU admission.
  • The area under the curve (AUC) for SII predicting ICU treatment was 0.896.
  • SII demonstrated high sensitivity (83.3%) and specificity (87.5%) for predicting ICU treatment.

Takeaway

Doctors can use a special blood test called the SII to tell how serious a tetanus infection is and if a patient might need extra help in the hospital.

Methodology

The study analyzed clinical data from 34 tetanus patients, comparing those who required ICU treatment with those who did not, focusing on the SII and other blood counts.

Potential Biases

Potential data bias and difficulties in ensuring data quality and completeness.

Limitations

The study is retrospective, which may introduce bias and confounding factors.

Participant Demographics

34 patients, 22 males (64.70%) and 12 females (35.30%), average age 62.06 years.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI 0.790–1.000

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0316196

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