在重症期间的侵略,暴力和威胁行为
Màiri H Northcott1, Gemma Johnston2, Jeffrey J Presneill1,3
1Intensive Care Unit, Royal Melbourne Hospital, Australia.
概括
在重症监护室 (ICU) 患者的攻击性,被称为"灰色代码"事件,正在增加. 来自急诊室的年轻男性患有创伤的风险最高.
科学领域:
- 关键护理医学 关键护理医学
- 创伤外科 手术 创伤外科
- 患者安全 患者安全
背景情况:
- 患者的侵略和暴力在重症监护机构中构成重大挑战.
- 了解这些事件的患病率和风险因素对于改善患者和工作人员安全至关重要.
研究的目的:
- 量化患者在重症期间的侵略性或威胁/实际暴力 (Code Grey事件) 的流行率.
- 为了确定与灰色代码事件相关的患者人口统计数据,诊断和疾病严重程度.
主要方法:
- 在2015年1月至2020年12月期间,对成人创伤重症监护室 (ICU) 住院的回顾性队列研究.
- 对"Code Grey"反应触发攻击或威胁/实际暴力的分析.
- 后勤混合效应建模以确定Code Grey事件的预测因素.
主要成果:
- 在16175个ICU入院中,共有807个Code Grey事件发生在379个 (2.7%) 中.
- 灰色代码事件的发生率从2015年到2020年增加.
- 独立预测因素包括男性性别,年龄较小 (20-30岁),急诊室入院和创伤诊断. 灰色码患者在ICU停留时间较长,但死亡风险降低.
结论:
- 密码灰事件在ICU中的流行率正在增加,并且可能涉及每位患者的重复事件.
- 从急诊室被诊断出创伤的年轻男性患者的风险最高.
- 这些发现凸显了针对性干预的必要性,以减轻重症监护环境中的患者攻击性.
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