刚性支气管镜检查的影响:儿童重症监护病房的八年回顾
1Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
概括
在儿科重症监护室 (PICU) 的早期刚性支气管镜患者可以预测早期出院. 需要多次手术或没有从第一次支气管镜检查中获益的患者往往有复杂的病例,导致更长的PICU停留.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 肺部病理学 肺部病理学
- 内镜手术是一种内镜手术.
背景情况:
- 刚性支气管镜是儿科重症监护室 (PICU) 中的一个关键诊断和治疗工具.
- 预测出院时间对于有效的PICU患者管理至关重要.
- 了解影响PICU停留时间的因素对于资源优化至关重要.
研究的目的:
- 评估各种支气管镜手术对PICU停留时间的影响.
- 在接受支气管镜检查的儿科患者中确定早期出院的预测因素.
- 开发一个PICU放电的预测模型.
主要方法:
- 对451例PICU入院病例 (2012-2019) 的回顾性审查.
- 对36名儿科患者 (<12岁) 进行了集中分析,这些患者接受了干预硬支气管镜检查.
- 根据支气管镜干预次数对患者进行分类.
主要成果:
- 第一次支气管镜检查是PICU出院的重要预测因素 (p=0.002).
- 气管切除术和性别也被确定为显著的预测因素 (分别为p=0.072和p=0.060).
- 早期的支气管镜干预与较短的PICU停留时间相关.
结论:
- 早期的支气管镜干预有助于更早地从PICU出院.
- 没有从初始支气管镜检查中受益的患者经常出现复杂的疾病,导致长时间的PICU停留.
- 这项研究提供了关于管理经过刚性支气管镜检查的PICU患者的见解.
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