基于推与值班医生处方的息镇静治疗的生存结果
Cristina Lojo-Cruz1, Juan Mora-Delgado1, Víctor Rivas Jiménez1
1Internal Medicine and Palliative Care Clinical Management Unit, Hospital Universitario de Jerez de la Frontera, Ronda de Circunvalación S/N, 11407 Jerez de la Frontera, Spain.
Journal of clinical medicine
|August 26, 2023
概括
由转诊医生处方的息镇静治疗导致较长的生存时间 (30小时) 与值班医生 (17小时) 相比. 呼吸不良也缩短了生存时间,突出了需要及时的息治疗的必要性.
科学领域:
- 抚慰性护理医学 抚慰性护理医学
- 在瘤学瘤学.
- 老年病的医生 老年病的医生
背景情况:
- 息镇静对于绝症患者的症状管理至关重要.
- 了解影响息镇静后生存的因素对于临床实践至关重要.
研究的目的:
- 为了比较接受临床指导和值班医生处方的息镇静治疗的患者的存活时间.
- 为了确定与息镇静开始后的生存时间相关的因素.
主要方法:
- 在特定医院单位死亡的18岁以上患者的回顾性分析 (2019年1月至2019年12月).
- 基于处方医生的生存时间的统计比较 (参考与应急) 和耐药症状.
- 分析包括年龄,性别,疾病类型和原发性瘤.
主要成果:
- 开始缓和镇静后的中位生存时间为25小时 (IQR 8-48).
- 转诊医生的处方与更长的生存时间 (30小时) 与值班医生 (17小时) 相对相关 (RR 0.357,p=0.024).
- 呼吸障碍作为一种耐火性症状与更短的生存时间有关 (RR 0.307,p=0.047).
结论:
- 值勤医生可能会给快速恶化的患者开处方便镇静剂,这可能解释了更短的生存期.
- 及时启动和仔细选择患者进行息镇静对于有效的症状缓解和患者护理至关重要.
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