烧伤中气管切除术后长期患者结果的初步探索:烧伤模型系统研究
Kevin E Galicia1, Anupama Mehta2, Karen J Kowalske3
1Department of Surgery, Loyola University Medical Center, Maywood, Illinois.
The Journal of surgical research
|July 16, 2023
概括
燃烧患者的气管切除术没有对长期的身体或精神健康,生活满意度,社区融入或返回工作产生负面影响. 这表明烧伤幸存者需要气管切除术的可比恢复.
科学领域:
- 烧伤护理和呼吸道管理
- 创伤外科手术和重症监护
- 患者报告的健康结果.
背景情况:
- 在烧伤护理中,上呼吸道管理至关重要,通常涉及严重伤害的内内管或气管切除术.
- 气管切除术是烧伤患者需要长时间机械通风的潜在干预措施.
- 在烧伤幸存者中,气管切除术后的长期患者结果尚未得到充分确立.
研究的目的:
- 为了比较经过气管切除术的烧伤患者与未经过气管切除术的患者长期患者报告的结果.
- 评估气管切除术对身体和精神健康,生活满意度,社区融入和就业状况的影响.
主要方法:
- 从燃烧模型系统数据库 (2013-2020) 的数据分析.
- 人口统计和临床数据的比较与没有气管切除术的患者.
- 使用VR-12,生活满意度,CIQ和PROMIS 29,评估患者报告的结果在6,12和24个月.
- 利用回归模型和倾向匹配分析来确定关联.
主要成果:
- 在714名烧伤患者中,5.5%接受了气管切除术.
- 只有VR-12物理组件总结分数在24个月后,在气管切除组中显著恶化.
- 两组之间在心理健康,生活满意度,社区融入或就业状况方面没有发现显著差异.
结论:
- 烧伤患者的气管切除术似乎与更糟糕的长期身体和心理社会恢复或就业结果无关.
- 这一发现可以为有关气管切除术在烧伤中使用的护理讨论的目标提供信息.
- 需要进行更大规模的研究来探索中心和提供者层面的影响以及伤害严重程度的影响.
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