在一般病房的高流量鼻管患者的住院死亡率
Jun Yamada1, Naoko Katsurada1, Masatsugu Yamamoto1
1Division of Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.
高流量鼻 (HFNCs) 在呼吸衰竭中很常见. 在一般病房使用HFNC的患者中,较低的ROX指数值可能表明医院内死亡风险较高.
科学领域:
- 关键护理医学 关键护理医学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 高流量鼻 (HFNCs) 越来越多地用于一般病房的呼吸衰竭患者.
- 对于HFNC在这些环境中使用的医院死亡率预测指标的数据有限.
研究的目的:
- 在一般病房开始HFNC治疗的患者中调查住院死亡率和相关因素.
- 评估ROX指数在预测HFNC治疗患者的结果中的作用.
主要方法:
- 对60名在普通病房开始使用HFNC的患者进行了回顾性研究.
- 评估住院死亡率,并发症和ROX指数 (脉冲氧度/吸入氧气与呼吸速率的比例).
主要成果:
- 住院死亡率为48.3%.
- 死亡的患者在HFNC启动时的ROX指数值明显较低 (6.93比9.01,p=0.00861).
- 在非幸存者中观察到12小时后ROX指数更大下降的趋势 (p=0.0536).
结论:
- 较低的初始ROX指数值可能与HFNCs治疗的普通病房患者的住院死亡有关.
- 罗克斯指数显示出在这个人群中作为HFNC治疗的预后工具的潜力.
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