摘要: • A feasibility study was undertaken prospectively to identify early clinical and laboratory factors predictive of acute hospital mortality in patients with the acquired immunodeficiency syndrome concurrentPneumocystis cariniipneumonia. Twentysix hospitalized bronchoscopy-provedP cariniipneumonia were studied. Nineteen survived their episode ofP cariniipneumonia, while 7 subjects did not. The only factor associated a history shorter duration pulmonary symptoms. Univariate analysis showed decreased total CD8 cell count, lymphocyte serum hemoglobin, albumin, thyroxine, triiodothyronine values consistent poor outcome. Multivariate logistic regression that single best prognostic indicator appeared be value less than 0.70 nmol/L obtained course, combination hemoglobin provided better indication for survival. These preliminary observations would appear justify further exploration serial measurements as potentially valuable treatment infected P carinii possibly other intercurrent infectious illnesses. (Arch Intern Med. 1990;150:406-409)
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