核心温度障碍与儿科重症监护病房患者的结果之间的关联
Panagiotis Kiekkas1, Grigorios Kourtis2, Paraskevi Feizidou3
1Panagiotis Kiekkas is a professor in the Nursing Department, University of Patras, Greece.
概括
儿科重症监护室 (PICU) 患者的发烧和低温与更长的住院时间和通风有关. 它们的特征预测了不良结果,突出了温度管理的重要性.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 在重症儿童的温度调节.
- 临床结果研究研究的临床结果.
背景情况:
- 关于儿科重症监护室 (PICU) 发烧和结果的研究有限,结果相互矛盾.
- 低温和PICU环境中的患者结果之间的关联在很大程度上尚未研究.
研究的目的:
- 确定PICU患者发烧和低温的发病率和特征.
- 调查发烧,低温和不良结果之间的关联,包括长时间的机械通风,长时间的PICU停留和死亡率.
主要方法:
- 在两年内,对545名患者进行了前性研究,这些患者被接收到两个PICU.
- 通过直肠或关温度计测量核心体温;发烧定义为>38.0°C,低温为<36.0°C.
- 统计分析 (单变量和多变量) 用于评估温度障碍和不良结果之间的关联.
主要成果:
- 发烧发生在54.9%的患者中,低温发生在29.5%的患者中.
- 发烧和低温都与长时间的机械呼吸和PICU停留 (P < .001) 独立相关.
- 发烧的大小/持续时间和低温的传染性原因与更长的PICU停留和增加的死亡率有关.
结论:
- 发烧和低温是PICU患者不良结果的重要预测因素.
- 温度失调的表现和具体特征是患者预后的关键因素.
- 这些发现强调了监测和管理重症儿童的温度障碍的重要性.
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