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1.
Phys Chem Chem Phys ; 26(19): 14186-14193, 2024 May 15.
Article En | MEDLINE | ID: mdl-38713092

Cost-effective and readily accessible 3d transition metals (TMs) have been considered as promising candidates for alkane activation while 3d TMs especially the early TMs are usually not very reactive with light alkanes. In this study, the reactivity of Vn+ and VnO+ (n = 1-9) cluster cations towards ethane under thermal collision conditions has been investigated using mass spectrometry and density functional theory calculations. Among Vn+ (n = 1-9) clusters, only V3-5+ can react with C2H6 to generate dehydrogenation products and the reaction rate constants are below 10-13 cm3 molecule-1 s-1. In contrast, the reaction rate constants for all VnO+ (n = 1-9) with C2H6 significantly increase by about 2-4 orders of magnitude. Theoretical analysis evidences that the addition of ligand O affects the charge distribution of the metal centers, resulting in a significant increase in the cluster reactivity. The analysis of frontier orbitals indicates that the agostic interaction determines the size-dependent reactivity of VnO+ cluster cations. This study provides a novel approach for improving the reactivity of early 3d TMs.

2.
J Am Chem Soc ; 146(18): 12485-12495, 2024 May 08.
Article En | MEDLINE | ID: mdl-38651836

Understanding the mechanisms of C-H activation of alkanes is a very important research topic. The reactions of metal clusters with alkanes have been extensively studied to reveal the electronic features governing C-H activation, while the experimental cluster reactivity was qualitatively interpreted case by case in the literature. Herein, we prepared and mass-selected over 100 rhodium-based clusters (RhxVyOz- and RhxCoyOz-) to react with light alkanes, enabling the determination of reaction rate constants spanning six orders of magnitude. A satisfactory model being able to quantitatively describe the rate data in terms of multiple cluster electronic features (average electron occupancy of valence s orbitals, the minimum natural charge on the metal atom, cluster polarizability, and energy gap involved in the agostic interaction) has been constructed through a machine learning approach. This study demonstrates that the general mechanisms governing the very important process of C-H activation by diverse metal centers can be discovered by interpreting experimental data with artificial intelligence.

3.
Dalton Trans ; 53(19): 8347-8355, 2024 May 14.
Article En | MEDLINE | ID: mdl-38666520

A fundamental understanding of the exact structural characteristics and reaction mechanisms of interface active sites is vital to engineering an energetic metal-support boundary in heterogeneous catalysis. Herein, benefiting from a newly developed high-temperature ion trap reactor, the reverse water-gas shift (RWGS) (CO2 + H2 → CO + H2O) catalyzed by a series of compositionally and structurally well-defined RhnVO3,4- (n = 3-7) clusters were identified under variable temperatures (298-773 K). It is discovered that the Rh5-7VO3,4- clusters can function more effectively to drive RWGS at relatively low temperatures. The experimentally observed size-dependent catalytic behavior was rationalized by quantum-chemical calculations; the framework of RhnVO3,4- is constructed by depositing the Rhn clusters on the VO3,4 "support", and a sandwiched base-acid-base [Rhout--Rhin+-VO3,4-; Rhout and Rhin represent the outer and inner Rh atoms, respectively] feature in Rh5-7VO3,4- governs the adsorption and activation of reactants as well as the facile desorption of the products. In contrast, isolated Rh5-7- clusters without the electronic modification of the VO3,4 "support" can only catalyze RWGS under relatively high-temperature conditions.

4.
Appl Opt ; 63(8): 1947-1951, 2024 Mar 10.
Article En | MEDLINE | ID: mdl-38568633

Three samples whose growth temperatures were 450°C, 500°C, and 560°C for S E S A M 1, S E S A M 2, and S E S A M 3, respectively, were tested by femto-second time-resolved transient absorption spectroscopy. The results indicate that the carrier dynamics of excited state absorption were dominant, and the lifetimes of carriers trapped by defect levels were about tens of pico-seconds. To further study the influence of carrier dynamics and recovery time of samples by ion-implantation, B + ions of 80 and 130 KeV were implanted into the samples with dose of 1014/c m 2. The modified samples showed a dominance of ultra-fast carrier dynamics of ground-state bleaching and direct recombination, which lasted for hundreds of femto-seconds, over excited state absorption. Additionally, carrier fast trapping was observed to be competitive with the excited state absorption process. After ion-implantation, the carrier dynamics of carrier trapping were enhanced, which contributed to forming an ultra-short laser, while the carrier dynamics of absorption of the excited state were suppressed. The conclusion that defect levels were partially eliminated by B + ion-implantation can be drawn.

5.
Chemphyschem ; 25(9): e202400116, 2024 May 02.
Article En | MEDLINE | ID: mdl-38380870

Activation and transformation of methane is one of the "holy grails" in catalysis. Understanding the nature of active sites and mechanistic details via spectroscopic characterization of the reactive sites and key intermediates is of great challenge but crucial for the development of novel strategies for methane transformation. Herein, by employing photoelectron velocity-map imaging (PEVMI) spectroscopy in conjunction with quantum chemistry calculations, the Lewis acid-base pair (LABP) of [Taδ+-Nδ-] unit in Ta2N3 - acting as an active center to accomplish the heterolytic cleavage of C-H bond in CH4 has been confirmed by direct characterization of the reactant ion Ta2N3 - and the CH4-adduct intermediate Ta2N3CH4 -. Two active vibrational modes for the reactant (Ta2N3 -) and four active vibrational modes for the intermediate (Ta2N3CH4 -) were observed from the vibrationally resolved PEVMI spectra, which unequivocally determined the structure of Ta2N3 - and Ta2N3CH4 -. Upon heating, the LABP intermediate (Ta2N3CH4 -) containing the NH and Ta-CH3 unit can undergo the processes of C-N coupling and dehydrogenation to form the product with an adsorbed HCN molecule.

6.
Nano Lett ; 24(1): 331-338, 2024 Jan 10.
Article En | MEDLINE | ID: mdl-38108571

Solar-driven photothermal catalytic H2 production from lignocellulosic biomass was achieved by using 1T-2H MoS2 with tunable Lewis acidic sites as catalysts in an alkaline aqueous solution, in which the number of Lewis acidic sites derived from the exposed Mo edges of MoS2 was successfully regulated by both the formation of an edge-terminated 1T-2H phase structure and tunable layer number. Owing to the abundant Lewis acidic sites for the oxygenolysis of lignocellulosic biomass, the 1T-2H MoS2 catalyst shows high photothermal catalytic lignocellulosic biomass-to-H2 transformation performance in polar wood chips, bamboo, rice straw corncobs, and rice hull aqueous solutions, and the highest H2 generation rate and solar-to-H2 (STH) efficiency respectively achieves 3661 µmol·h-1·g-1 and 0.18% in the polar wood chip system under 300 W Xe lamp illumination. This study provides a sustainable and cost-effective method for the direct transformation of renewable lignocellulosic biomass to H2 fuel driven by solar energy.

7.
ACS Appl Mater Interfaces ; 15(43): 50206-50215, 2023 Nov 01.
Article En | MEDLINE | ID: mdl-37871167

The conversion of lignocellulosic biomass to chemical fuel can achieve the sustainable use of lignocellulosic biomass, but it was limited by the lack of an effective conversion strategy. Here, we reported a unique approach of photothermal catalysis by using MoS2-reduced graphene oxide (MoS2/RGO) as the catalyst to convert lignocellulosic biomass into H2 fuel in alkaline solution. The RGO acting as a support for the growth of MoS2 results in the high exposed Mo edges, which act as efficient Lewis acidic sites for the oxygenolysis of lignocellulosic biomass dissolved in alkaline solution. The broad light absorption capacity and abundant Lewis acidic sites make MoS2/RGO to be efficient catalysts for photothermal catalytic H2 production from lignocellulosic biomass, and the H2 generation rate with respect to catalyst under 300 W Xe lamp irradiation in cellulose, rice straw, wheat straw, polar wood chip, bamboo, rice hull, and corncob aqueous solution achieve 223, 168, 230, 564, 390, 234, and 55 µmol·h-1·g-1, respectively. It is believed that this photothermal catalysis is a simple and "green" approach for the lignocellulosic biomass-to-H2 conversion, which would have great potential as a promising approach for solar energy-driven H2 production from lignocellulosic biomass.

8.
Water Res ; 245: 120566, 2023 Oct 15.
Article En | MEDLINE | ID: mdl-37683521

Volatile and semi-volatile organic compounds (VOCs and SVOCs) carried by landfilled wastes may enter leachate, and require appropriate treatment before discharge. However, the driving factors of the entry of VOCs and SOVCs into leachate, their removal characteristics during leachate treatment and the dominant factors remain unclear. A global survey of the VOCs and SOVCs in leachate from 103 landfill sites combined with 27 articles on leachate treatment was conducted to clarify the abovementioned question. The results showed that SVOCs such as polycyclic aromatic hydrocarbons (PAHs), phthalate acid esters (PAEs) and phenols were the most frequently detected in leachate on a global scale. However, four kinds of VOCs, i.e., toluene, ethylbenzene, xylenes and benzene, were frequently detected at high concentrations in landfill leachate as well. The concentrations of VOCs and SVOCs in leachate ranged from 1 × 10° to 1 × 108 ng/L. Solubility was a key factor driving the entry of VOCs and SOVCs into leachate, and higher solubility enables higher detectable concentrations in leachate (P<0.05). It was easiest to remove monocyclic aromatic hydrocarbons (MAHs) from leachate, followed by phenols and PAHs, and it was most difficult to remove PAEs. In terms of removing MAHs, the anoxic/oxic (A/O) process and the sequential batch reactor (SBR) process were comparable to the advanced oxidization process and far superior to the ultrafiltration and nanofiltration processes, and the removal rate increased with an increase in the Henry's constant and/or the hydrophilicity of the contaminants during the A/O and SBR processes (P<0.05). There were no significant differences among biological, advanced oxidation and reverse osmosis processes in the removal of phenolic. In terms of removing PAHs, the A/O process was comparable to the advanced oxidization process and more efficient than the other treatment processes. As to removing PAEs, the membrane bioreactor process was almost the same efficient as the advanced oxidization process and far more efficient than the other biological treatment processes. Future research should focus on the pollution of atmospheric VOCs and SVOCs near aeration units in leachate treatment plants, as well as the health risk assessment of VOCs and SVOCs in the treated leachate effluent. To the best of our knowledge, this is the first review regarding the occurrence and removal of VOCs and SVOCs from landfill leachates worldwide.


Hydrocarbons, Aromatic , Polycyclic Aromatic Hydrocarbons , Volatile Organic Compounds , Water Pollutants, Chemical , Water Pollutants, Chemical/analysis , Phenols
9.
ACS Appl Mater Interfaces ; 15(32): 38693-38706, 2023 Aug 16.
Article En | MEDLINE | ID: mdl-37542464

Inspired by life's interaction networks, ongoing efforts are to increase complexity and responsiveness of multicomponent interactions in the system for sensing, programmable control, or information processing. Although exquisite preparation of single uniform-morphology nanomaterials has been extremely explored, the potential value of facile and one-pot preparation of multimorphology nanomaterials has been seriously ignored. Here, multimorphological silver nanomaterials (M-AgN) prepared by one pot can form interaction networks with various analytes, which can be successfully realized from multimode and multianalyte colorimetric sensing to molecular information technology (logic computing and security). The interaction of M-AgN with multianalytes not only induces multisignal responses (including color, absorbance, and wavelength shift) for sensing metal ions (Cr3+, Hg2+, and Ni2+) but also can controllably reshape its four morphologies (nanodots, nanoparticles, nanorods, and nanotriangles). By abstracting binary relationships between analytes and response signals, multicoding parallel logic operations (including simple logic gates and cascaded circuits) can be performed. In addition, taking advantage of natural concealment and molecular response characteristics of M-AgN nanosystems can also realize molecular information encoding, encryption, and hiding. This research not only promotes the construction and application of multinano interaction systems based on multimorphology and multicomponent nanoset but also provides a new imagination for the integration of sensing, logic, and informatization.

10.
J Phys Chem Lett ; 14(28): 6431-6436, 2023 Jul 20.
Article En | MEDLINE | ID: mdl-37432842

The introduction of organic ligands is one of the effective strategies to improve the stability and reactivity of metal clusters. Herein, the enhanced reactivity of benzene-ligated cluster anions Fe2VC(C6H6)- with respect to naked Fe2VC- is identified. Structural characterization suggests that C6H6 is molecularly bound to the dual metal site in Fe2VC(C6H6)-. Mechanistic details reveal that the cleavage of N≡N is feasible in Fe2VC(C6H6)-/N2 but hindered by an overall positive barrier in the Fe2VC-/N2 system. Further analysis discloses that the ligated C6H6 regulates the compositions and energy levels of the active orbitals of the metal clusters. More importantly, C6H6 serves as an electron reservoir for the reduction of N2 to lower the crucial energy barrier of N≡N splitting. This work demonstrates that the flexibility of C6H6 in terms of withdrawing and donating electrons is crucial to regulating the electronic structures of the metal cluster and enhancing the reactivity.

11.
Chem Commun (Camb) ; 59(50): 7795-7798, 2023 Jun 20.
Article En | MEDLINE | ID: mdl-37265379

TiO2 nanoparticles grown on MoS2/N-doped graphitic carbon were demonstrated to be efficient noble-metal-free photocatalysts for H2 production from lignocellulosic biomass, and the H2 generation rate from wheat straw, corncob, polar wood chip, bamboo, rice hull, corn straw and rice straw aqueous solution respectively reaches 4.9, 6.7, 11.7, 14.5, 8.4, 7.3 and 6.2 µmol g-1 h-1.

12.
Small ; 19(29): e2207436, 2023 Jul.
Article En | MEDLINE | ID: mdl-37026417

Bimetallic nanomaterials (BNMs) have been used in sensing, biomedicine, and environmental remediation, but their multipurpose and comprehensive applications in molecular logic computing and information security protection have received little attention. Herein, This synthesis method is achieved by sequentially adding reactants under ice bath conditions. Interestingly, Ag-Cr NPs can dynamically selectively sense anions and reductants in multiple channels. Especially, ClO- can be quantitatively detected by oxidizing Ag-Cr NPs with detection limits of 98.37 nM (at 270 nm) and 31.83 nM (at 394 nm). Based on sequential-dependent synthesis process of Ag-Cr NPs, Boolean logic gates and customizable molecular keypad locks are constructed by setting the reactants as the inputs, the states of the resulting solutions as the outputs. Furthermore, dynamically selective response patterns of the Ag-Cr NPs can be converted into binary strings to exploit molecular crypto-steganography to encode, store, and hide information. By integrating the three dimensions of authorization, encryption, and steganography, 3 in 1 advanced information protection based on Ag-Cr nanosensing system can be achieved, which can enhance the anti-cracking ability of information. This research will promote the development and application of nanocomposites in the field of information security and deepen the connection between molecular sensing and the information world.

13.
Environ Int ; 174: 107886, 2023 04.
Article En | MEDLINE | ID: mdl-36989764

Gas emitted from landfills contains a large quantity of volatile organic compounds (VOCs) and semi-volatile organic compounds (SVOCs), some of which are carcinogenic, teratogenic, and mutagenic, thereby posing a serious threat to the health of landfill workers and nearby residents. However, the global hazards of VOCs and SVOCs in landfill gas to human health remain unclear. To quantify the global risk distributions of these pollutants, we collected the composition and concentration data of VOCs and SVOCs from 72 landfills in 20 countries from the core database of Web of Science and assessed their human health risks as well as analyzed their influencing factors. Organic compounds in landfill gas were found to primarily result from the biodegradation of natural organic waste or the emissions and volatilization of chemical products, with the concentration range of 1 × 10-1-1 × 106 µg/m3. The respiratory system, in particular, lung was the major target organ of VOCs and SVOCs, with additional adverse health impacts ranging from headache and allergies to lung cancer. Aromatic and halogenated compounds were the primary sources of health risk, while ethyl acetate and acetone from the biodegradation of natural organic waste also exceeded the acceptable levels for human health. Overall, VOCs and SVOCs affected residents within 1,000 m of landfills. Air temperature, relative humidity, air pressure, wind direction, and wind speed were the major factors that influenced the health risks of VOCs and SVOCs. Currently, landfill risk assessments of VOCs and SVOCs are primarily based on respiratory inhalation, with health risks due to other exposure routes remaining poorly elucidated. In addition, potential health risks due to the transport and transformation of landfill gas emitted into the atmosphere should be further studied.


Air Pollutants , Volatile Organic Compounds , Humans , Volatile Organic Compounds/analysis , Air Pollutants/analysis , Environmental Monitoring , Risk Assessment , Waste Disposal Facilities
14.
Front Oncol ; 13: 1092073, 2023.
Article En | MEDLINE | ID: mdl-36845749

Background: Performing biopsy for intermediate lesions with PI-RADS 3 has always been controversial. Moreover, it is difficult to differentiate prostate cancer (PCa) and benign prostatic hyperplasia (BPH) nodules in PI-RADS 3 lesions by conventional scans, especially for transition zone (TZ) lesions. The purpose of this study is sub-differentiation of transition zone (TZ) PI-RADS 3 lesions using intravoxel incoherent motion (IVIM), stretched exponential model, and diffusion kurtosis imaging (DKI) to aid the biopsy decision process. Methods: A total of 198 TZ PI-RADS 3 lesions were included. 149 lesions were BPH, while 49 lesions were PCa, including 37 non-clinical significant PCa (non-csPCa) lesions and 12 clinical significant PCa (csPCa) lesions. Binary logistic regression analysis was used to examine which parameters could predict PCa in TZ PI-RADS 3 lesions. The ROC curve was used to test diagnostic efficiency in distinguishing PCa from TZ PI-RADS 3 lesions, while one-way ANOVA analysis was used to examine which parameters were statistically significant among BPH, non-csPCa and csPCa. Results: The logistic model was statistically significant (χ2 = 181.410, p<0.001) and could correctly classify 89.39% of the subjects. Parameters of fractional anisotropy (FA) (p=0.004), mean diffusion (MD) (p=0.005), mean kurtosis (MK) (p=0.015), diffusion coefficient (D) (p=0.001), and distribute diffusion coefficient (DDC) (p=0.038) were statistically significant in the model. ROC analysis showed that AUC was 0.9197 (CI 95%: 0.8736-0.9659). Sensitivity, specificity, positive predictive value and negative predictive value were 92.1%, 80.4%, 93.9% and 75.5%, respectively. FA and MK of csPCa were higher than those of non-csPCa (all p<0.05), while MD, ADC, D, and DDC of csPCa were lower than those of non-csPCa (all p<0.05). Conclusion: FA, MD, MK, D, and DDC can predict PCa in TZ PI-RADS 3 lesions and inform the decision-making process of whether or not to perform a biopsy. Moreover, FA, MD, MK, D, DDC, and ADC may have ability to identify csPCa and non-csPCa in TZ PI-RADS 3 lesions.

15.
Chemphyschem ; 24(9): e202200879, 2023 May 02.
Article En | MEDLINE | ID: mdl-36650611

Late transition metal-bonded atomic oxygen radicals (LTM-O⋅- ) have been frequently proposed as important active sites to selectively activate and transform inert alkane molecules. However, it is extremely challenging to characterize the LTM-O⋅- -mediated elementary reactions for clarifying the underlying mechanisms limited by the low activity of LTM-O⋅- radicals that is inaccessible by the traditional experimental methods. Herein, benefiting from our newly-designed ship-lock type reactor, the reactivity of iron-vanadium bimetallic oxide cluster anions FeV3 O10 - and FeV5 O15 - featuring with Fe-O⋅- radicals to abstract a hydrogen atom from C2 -C4 alkanes has been experimentally characterized at 298 K, and the rate constants are determined in the orders of magnitude of 10-14 to 10-16  cm3 molecule-1 s-1 , which are four orders of magnitude slower than the values of counterpart ScV3 O10 - and ScV5 O15 - clusters bearing Sc-O⋅- radicals. Theoretical results reveal that the rearrangements of the electronic and geometric structures during the reaction process function to modulate the activity of Fe-O⋅- . This study not only quantitatively characterizes the elementary reactions of LTM-O⋅- radicals with alkanes, but also provides new insights into structure-activity relationship of M-O⋅- radicals.

16.
Chemphyschem ; 24(4): e202200743, 2023 Feb 14.
Article En | MEDLINE | ID: mdl-36308426

A fundamental understanding on the dynamically structural evolution of catalysts induced by reactant gases under working conditions is challenging but pivotal in catalyst design. Herein, in combination with state-of-the-art mass spectrometry for cluster reactions, cryogenic photoelectron imaging spectroscopy, and quantum-chemical calculations, we identified that NO adsorption on rhodium-cerium bimetallic oxide cluster RhCeO2 - can create a Ce3+ ion in product RhCeO2 NO- that serves as the starting point to trigger the catalysis of NO reduction by CO. Theoretical calculations substantiated that the reduction of another two NO molecules into N2 O takes place exclusively on the Ce3+ ion while Rh behaves like a promoter to buffer electrons and cooperates with Ce3+ to drive NO reduction. Our finding demonstrates the importance of NO in regulating the catalytic behavior of Rh under reaction conditions and provides much-needed insights into the essence of NO reduction over Rh/CeO2 , one of the most efficient components in three-way catalysts for NOx removal.

17.
Phys Chem Chem Phys ; 24(40): 24950-24958, 2022 Oct 19.
Article En | MEDLINE | ID: mdl-36205256

The activation and transformation of molecular nitrogen (N2) by metal hydride species has attracted widespread attention due to its critical role in nitrogen fixation. Herein, the reactions between tantalum deuteride cluster anions Ta2D2,4- and N2 were investigated experimentally and theoretically. An unprecedented reaction channel of the liberation of a single D atom was observed and much superior reactivity was identified for Ta2D4-. Theoretical investigations indicate that the releasing of D atoms benefits from the completely dissociative adsorption of N2 on the dinuclear metal centres. The extra D atoms in Ta2D4- compared to Ta2D2- are helpful to create sufficient electron density at the adsorption site and modify the symmetry of active orbitals to facilitate a further reduction of N2. This comparative study provides a molecular-level insight to understand the high structure-modulating capability of the additional hydride ligands in polyhydride species in the adsorption and activation of nitrogen molecules.

18.
J Chem Phys ; 157(11): 114301, 2022 Sep 21.
Article En | MEDLINE | ID: mdl-36137788

A high-temperature linear ion trap that can stably run up to 873 K was newly designed and installed into a homemade reflectron time-of-flight mass spectrometer coupled with a laser ablation cluster source and a quadrupole mass filter. The instrument was used to study the pyrolysis behavior of mass-selected (V2O5)NO- (N = 1-6) cluster anions and the dissociation channels were clarified with atomistic precision. Similar to the dissociation behavior of the heated metal oxide cluster cations reported in literature, the desorption of either atomic oxygen atom or molecular O2 prevailed for the (V2O5)NO- clusters with N = 2-5 at 873 K. However, novel dissociation channels involving fragmentation of (V2O5)NO- to small-sized VxOy - anions concurrent with the release of neutral vanadium oxide species were identified for the clusters with N = 3-6. Significant variations in branching ratios for different dissociation channels were observed as a function of cluster size. Kinetic studies indicated that the dissociation rates of (V2O5)NO- monotonically increased with the increase in cluster size. The internal energies carried by the (V2O5)NO- clusters at 873 K as well as the energetics data for dissociation channels have been theoretically calculated to rationalize the experimental observations. The decomposition behavior of vanadium oxide clusters from this study can provide new insights into the pyrolysis mechanism of metal oxide nanoparticles that are widely used in high temperature catalysis.

19.
Chem Sci ; 13(32): 9366-9372, 2022 Aug 17.
Article En | MEDLINE | ID: mdl-36093004

The direct coupling of dinitrogen (N2) and methane (CH4) to construct the N-C bond is a fascinating but challenging approach for the energy-saving synthesis of N-containing organic compounds. Herein we identified a likely reaction pathway for N-C coupling from N2 and CH4 mediated by heteronuclear metal cluster anions CoTaC2 -, which starts with the dissociative adsorption of N2 on CoTaC2 - to generate a Ta δ+-Nt δ- (terminal-nitrogen) Lewis acid-base pair (LABP), followed by the further activation of CH4 by CoTaC2N2 - to construct the N-C bond. The N[triple bond, length as m-dash]N cleavage by CoTaC2 - affording two N atoms with strong charge buffering ability plays a key part, which facilitates the H3C-H cleavage via the LABP mechanism and the N-C formation via a CH3 migration mechanism. A novel Nt triggering strategy to couple N2 and CH4 molecules using metal clusters was accordingly proposed, which provides a new idea for the direct synthesis of N-containing compounds.

20.
World J Emerg Med ; 13(5): 355-360, 2022.
Article En | MEDLINE | ID: mdl-36119776

BACKGROUND: This study aimed to establish an effective nomogram to predict the survival of heat stroke (HS) based on risk factors. METHODS: This was a retrospective, observational multicenter cohort study. We analyzed patients diagnosed with HS, who were treated between May 1 and September 30, 2018 at 15 tertiary hospitals from 11 cities in Northern China. RESULTS: Among the 175 patients, 32 patients (18.29%) died before hospital discharge. After the univariate analysis, mechanical ventilation, initial mean arterial pressure <70 mmHg, maximum heart rate, lab results on day 1 (white blood cell count, alanine aminotransferase, creatinine), and Glasgow admission prediction score were included in multivariate analysis. Multivariate Cox regression showed that invasive ventilation, initial mean arterial pressure <70 mmHg (1 mmHg=0.133 kPa), and Glasgow admission prediction score were independent risk factors for HS. The nomogram was established for predicting 7-d and 14-d survival in the training cohort. The nomogram exhibited a concordance index (C-index) of 0.880 (95% confidence interval [95% CI] 0.831-0.930) by bootstrapping validation (B=1,000). Furthermore, the nomogram performed better when predicting 14-d survival, compared to 7-d survival. The prognostic index cut-off value was set at 2.085, according to the operating characteristic curve for overall survival prediction. The model showed good calibration ability in the internal and external validation datasets. CONCLUSION: A novel nomogram, integrated with prognostic factors, was proposed; it was highly predictive of the survival in HS patients.

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