携带COVID-19患者的运输时间
Jane M Hayes1,2, Jeremy B Richards3, Michael A Frakes4
1Department of Medicine, Washington University School of Medicine, St Louis, MO, USA.
Journal of intensive care medicine
|June 26, 2023
概括
转移到三级护理中心的重症COVID-19患者的死亡率为38%. 在发送医院入院或输管的持续时间与死亡率或需要ECMO输管的需求没有相关性.
科学领域:
- 关键护理医学 关键护理医学
- 传染病流行病学 传染病流行病学
- 医疗服务研究 医疗服务研究
背景情况:
- 由于COVID-19的流行,急性病患者需要转移到专门的三级护理中心.
- 了解转移前护理持续时间对结果的影响对于优化患者管理至关重要.
研究的目的:
- 为了评估COVID-19患者在医院之间转移的死亡或体外膜氧化 (ECMO) 道的风险.
- 评估在发送医院的护理时间和患者的治疗结果之间的关系.
主要方法:
- 进行了一项回顾性队列研究,涉及14岁及以上的确诊或疑似COVID-19的患者.
- 2020年3月1日至2020年9月4日期间,从重症监护运输到七个三级护理中心收集了数据.
主要成果:
- 转移COVID-19患者的整体死亡率为38.0%.
- 在寄送医院住院或输管的几天数和死亡风险之间没有发现显著的相关性.
- 同样,发送医院的护理持续时间与ECMO放管的可能性没有相关性.
结论:
- 将重症COVID-19患者转移到第三级护理中心可能是合适的,即使在最初的设施入院几天后.
- 调查结果表明,基于在寄送医院停留的时间,转移的时间可能不是死亡率或需要ECMO等高级生命支持的首要决定因素.
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