在接受紧急创伤头骨切割手术的患者的门到皮肤时间
Kumarappan Chockalingam1,2,3, Noor Azman A Rahman1, Zamzuri Idris2,3
1Department of Neurosurgery, Hospital Sultanah Aminah Johor Bahru, Johor, Malaysia.
The Malaysian journal of medical sciences : MJMS
|September 1, 2023
概括
对创伤性脑损伤 (TBI) 患者进行手术的延迟与内出血直接相关,结果较差. 减少门到皮肤的时间对于改善患者在TBI护理中的生存和康复至关重要.
科学领域:
- 神经外科 神经外科
- 创伤护理 创伤护理
- 公共卫生 公共卫生
背景情况:
- 创伤性脑损伤 (TBI) 是全球死亡和残疾的重要原因.
- 对于TBI患者,内出血的紧急外科干预至关重要.
研究的目的:
- 为了评估入院后最终手术干预的时间.
- 评估这种手术延迟与马来西亚神经外科中心患者结果之间的关联.
主要方法:
- 对154名TBI患者进行了回顾性研究,这些患者需要紧急的骨切除.
- 从临床记录中提取的数据,包括出院时和6个月后的格拉斯哥结局得分 (GOS).
- 后勤回归分析以确定与糟糕结果相关的因素.
主要成果:
- 门到皮肤的平均时间为605分钟.
- 68.2%的患者在出院时表现不佳,在6个月后改善到37.7%.
- 增加的门到皮肤时间与出院后 (AOR=1.005) 和6个月后 (AOR=1.008) 的不良结果显著相关.
结论:
- 门到皮肤的时间与TBI患者的不良结果成正比.
- 尽量减少手术延迟对于改善患者的治疗结果至关重要.
- 在创伤护理中需要共同努力,以简化外科手术干预.
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