语音病理学评估的消化障碍后内切外注:一个服务模型评估评估
Nicola A Clayton1, Elizabeth C Ward2, Eva Norman3
1Speech Pathology Department, Concord Repatriation General Hospital, NSW Australia; Intensive Care Unit, Concord Repatriation General Hospital, NSW Australia; School of Health and Rehabilitation Sciences, University of Queensland, QLD Australia; Faculty of Medical and Health Sciences, University of Sydney, NSW Australia.
概括
在被直管的患者中,对后管性消化症 (PED) 评估的一项全方位转诊协议被证明是有效的. 这种模型有助于及时识别和管理食障碍,改善了重症监护病房患者的治疗结果.
科学领域:
- 关键护理医学 关键护理医学
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 术后消化不全 (PED) 与肺炎和死亡率等不良结果有关.
- 超过48小时的内管道输入是PED的重要预测因素.
- 早期发现PED对于有效的患者管理至关重要.
研究的目的:
- 为了评估PED评估的全套转诊模型的有效性,在患者被直管了≥48小时.
- 在ICU内分析患者特征,PED患病率,严重程度和语音病理管理.
- 评估两年时间 (2015年6月至2017年6月) 的结果.
主要方法:
- 实施了一项通用PED评估的协议,用于输管≥48小时的患者.
- 在两年内审查了108名患者,评估了临床特征和转诊模式.
- 分析了关于PED识别,严重程度,持续时间和语言病理干预的数据.
主要成果:
- 在108名患者的评估中,96%的患者遵守了该协议.
- 89%的患者患有PED,其中26%的患者经历了严重的吞障碍.
- 中位数评估发生在输出管后22小时; 77%在24小时内进行评估.
- 缺食症的严重程度与康复时间相关 (p=0.001).
结论:
- 覆盖性转诊模型促进了对PED高风险患者的及时分拣和评估.
- 这种方法在重症监护机构中有效地识别和管理食障碍.
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