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Purpose <p>To analyze the clinical characteristics and risk factors associated with short-term multiple organ dysfunction (MODS) in older people suffering from wasp stings.</p> Methods <p>The study assessed the demographic, clinical, and laboratory data of patients aged &gt; 65&#xa0;years old suffering from wasp stings. The patients were categorized into the non-MODS and MODS groups based on the occurrence of MODS, and their clinical data were then compared. Logistic regression analysis was performed to determine the risk factors associated with the development of MODS in older people with wasp stings.</p> Results <p>A total of 118 patients with complete clinical data were assigned to two groups: non-MODS (<i>n = </i>69) and MODS (<i>n = </i>49). The mean age of the subjects was 68.3 ± 5.3&#xa0;years, and the ratio of male/female was 54/64. Significant differences between the two groups were observed in age, pre-hospital time, and the proportion of patients receiving advanced life support therapy (<i>p &lt; </i>0.05). Acute kidney injury (AKI) was determined to be the most common complication, occurring in 20 (17.0%) patients overall (MODS vs. non-MODS: 32.7% vs.5.8%, <i>p &lt; </i>0.001), followed by acute respiratory distress syndrome (ARDS), which occurred in 18 (15.3%) patients (MODS vs. non-MODS: 30.6% vs. 4.3%, <i>p &lt; </i>0.001), with significant differences recorded between the groups. Logistic regression analysis indicated that advanced age, a greater number of stings, longer pre-hospital time, and the occurrence of AKI and ARDS acted as independent risk factors for MODS.</p> Conclusion <p>Older people stung by wasps have a high incidence of MODS. ARDS and AKI are the key complications associated with MODS. Clinicians should therefore use the following five indicators: age, number of stings, pre-hospital time, and the occurrence of AKI and ARDS to rapidly assess the risk and implement targeted intensive treatment focused on early respiratory support and active blood purification in high-risk older people for improving the prognosis.</p>

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Clinical characteristics of older people and risk factors for developing multiple organ dysfunction following wasp stings

  • 期刊论文

  • 发表日期：

    2025年12月17日

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  • Xu Li,
  • Hong Mei Li,
  • Ju Long Xu,
  • Fang Jiu Liu

摘要

Purpose

To analyze the clinical characteristics and risk factors associated with short-term multiple organ dysfunction (MODS) in older people suffering from wasp stings.

Methods

The study assessed the demographic, clinical, and laboratory data of patients aged > 65 years old suffering from wasp stings. The patients were categorized into the non-MODS and MODS groups based on the occurrence of MODS, and their clinical data were then compared. Logistic regression analysis was performed to determine the risk factors associated with the development of MODS in older people with wasp stings.

Results

A total of 118 patients with complete clinical data were assigned to two groups: non-MODS (n = 69) and MODS (n = 49). The mean age of the subjects was 68.3 ± 5.3 years, and the ratio of male/female was 54/64. Significant differences between the two groups were observed in age, pre-hospital time, and the proportion of patients receiving advanced life support therapy (p < 0.05). Acute kidney injury (AKI) was determined to be the most common complication, occurring in 20 (17.0%) patients overall (MODS vs. non-MODS: 32.7% vs.5.8%, p < 0.001), followed by acute respiratory distress syndrome (ARDS), which occurred in 18 (15.3%) patients (MODS vs. non-MODS: 30.6% vs. 4.3%, p < 0.001), with significant differences recorded between the groups. Logistic regression analysis indicated that advanced age, a greater number of stings, longer pre-hospital time, and the occurrence of AKI and ARDS acted as independent risk factors for MODS.

Conclusion

Older people stung by wasps have a high incidence of MODS. ARDS and AKI are the key complications associated with MODS. Clinicians should therefore use the following five indicators: age, number of stings, pre-hospital time, and the occurrence of AKI and ARDS to rapidly assess the risk and implement targeted intensive treatment focused on early respiratory support and active blood purification in high-risk older people for improving the prognosis.