较高的牙感染严重性得分与困难的输管术有关吗?
Timothy W Neal1, Brian R Carr2, Thomas Schlieve2
1Department of Surgery, Division of Oral and Maxillofacial Surgery, UT Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX, USA. Timothy.Neal@UTSouthwestern.edu.
Oral and maxillofacial surgery
|June 16, 2023
概括
5或更高的牙感染严重性评分 (OISS) 与严重牙感染 (SOI) 手术期间难以输管的可能性更大. 这一分数可能有助于预测输管挑战.
科学领域:
- 口腔和牙面部外科手术
- 麻醉学 麻醉学
- 传染性疾病 传染性疾病
背景情况:
- 严重的牙感染 (SOI) 带来了重大的临床挑战.
- 在SOI的手术治疗期间,呼吸道管理可能是复杂的.
- 在这种情况下,对于难以输管的预测工具是有价值的.
研究的目的:
- 调查牙科感染严重性评分 (OISS) 和难以输管之间的关系.
- 评估OISS作为SOI患者难以输入管道的预测器的实用性.
主要方法:
- 对接受SOI手术治疗的患者进行回顾性队列研究.
- 根据OISS,患者被分为两组:≥5 (组1) 和<5 (组2).
- 两组之间的困难输管率的比较.
主要成果:
- 在两组之间观察到难以输入管道的统计学上显著差异 (p=0.018).
- 患有OISS ≥5的患者几乎有四倍的风险遇到难以输管 (OR 3.70).
- OISS ≥5显示了69%的灵敏度和63%的特异性,用于预测难以输管.
结论:
- 5或以上的OISS与更高的难以输入管道的患病率有关.
- OISS显示出作为预测输管困难的临床相关工具的潜力.
- 在气道管理决策中,OISS可以补充现有的风险因素,实验室值和临床判断.
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