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[Analysis of constipation in severe trauma patients]
M Orejana Martín1, S Torrente Vela1, M A Murillo Pérez1
1Enfermería de la Unidad de Cuidados Intensivos (UCI) de Trauma y Emergencias, Hospital Universitario 12 de Octubre, Madrid, España.
Enfermeria Intensiva
|December 17, 2013
Summary
Constipation is highly prevalent in severe trauma (ST) patients, affecting over 84%. Prolonged intensive care unit (ICU) stays and mechanical ventilation are significant risk factors, suggesting prophylactic laxative use.
Area of Science:
- Critical care medicine
- Gastroenterology
- Trauma surgery
Context:
- Severe trauma (ST) patients often experience significant gastrointestinal dysfunction.
- Constipation is a common complication in critically ill patients.
- Understanding risk factors is crucial for optimizing patient care and outcomes.
Purpose:
- To determine the incidence of constipation in patients with severe trauma.
- To identify risk factors associated with constipation in this patient population.
- To inform clinical practice regarding the management of constipation in ST patients.
Summary:
- A retrospective study analyzed 69 severe trauma patients, revealing an 84.06% incidence of constipation.
- Constipation onset was frequently observed 7-9 days after initiating enteral nutrition.
- Key risk factors identified include extended ICU stay, sedation, analgesics, and mechanical ventilation.
Impact:
- The high incidence of constipation in severe trauma patients necessitates proactive management strategies.
- Identifying risk factors like ICU stay and mechanical ventilation can guide preventative interventions.
- Prophylactic administration of laxatives is recommended to mitigate constipation in ST patients.
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